Yadira L. Gamez Dental Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

38798 Issued in CA

Legal business name

YADIRA L. GAMEZ DENTAL INC

Practice address

2004 Dairy Mart Rd Ste 120
San Ysidro, CA 92173-1882

Phone

(619) 428-2436

Fax

(619) 428-2447

NPI assigned

Mar 13, 2012

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Yadira L. Gamez, DDSNPI 1346251535

Title

President

Phone

(619) 428-2436

Specialties & licenses 1

Addresses

Other names 1

• Yadira L. Gamez Dental Office Inc. Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yadira L Gamez, DDS

  • Dentist
  • San Ysidro, CA
  • NPI 1346251535
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1841565579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 DAIRY MART RD STE 120",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921731882",
            "telephone_number": "619-428-2436",
            "fax_number": "619-428-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 DAIRY MART RD STE 120",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921731882",
            "telephone_number": "619-428-2436",
            "fax_number": "619-428-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YADIRA L. GAMEZ DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GAMEZ",
        "authorized_official_first_name": "YADIRA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-428-2436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "38798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yadira L. Gamez Dental Office Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tom Ellis Williams, MD
• Diana Wong
• Wayne Bon Wong
• Stephanie Wooden, MSW
• Xpquick Claims Inc
• Yaron Zehtser, OTR
• Miriam Zuazo, HE

• Preferred Provider Organization in San Ysidro, CA
• Providers in San Ysidro, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.