Active NPI
Beatriz Vidales, DDS
- General Practice Dentistry
- San Marcos, CA
National Provider Identifier
1851365043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 45212
- Practice address
- 744 Grand Ave Ste 203
San Marcos, CA 92078-1241 - Phone
- (760) 744-0004
- Fax
- (760) 744-0001
- NPI assigned
- Feb 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 45212 | CA | Primary |
Addresses
Primary practice location
744 Grand Ave Ste 203
San Marcos, CA 92078-1241
Mailing address
744 Grand Ave Ste 203
San Marcos, CA 92078-1241
Phone (760) 744-0004
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B4521201 | Other | CA | MEDI-CAL IDENTIFICATION # |
| 980769 | Other | CA | UNITED CONCORDIA |
| B4521201 | Other | CA | HEALTY FAMMILIES ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45212 | CA | MD | Dental Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miguel Montoya DDS, Inc | General Practice | Past | Accepting new patients |
| Beatriz Vidales DDS, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Preferred Provider Organization
- Escondido, CA
- NPI 1730291832
-
- General Practice Dentistry
- Escondido, CA
- NPI 1669874814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758153600000",
"number": "1851365043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 GRAND AVE STE 203",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920781241",
"telephone_number": "760-744-0004",
"fax_number": "760-744-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 GRAND AVE STE 203",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920781241",
"telephone_number": "760-744-0004",
"fax_number": "760-744-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIDALES",
"first_name": "BEATRIZ",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "45212",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL IDENTIFICATION #",
"identifier": "B4521201",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "980769",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTY FAMMILIES ID",
"identifier": "B4521201",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.