NPIMap

Individual provider Active NPI

David Palomares Cartago Jr., D.D.S.

  • General Practice Dentistry
  • San Ramon, CA
National Provider Identifier
1851587539
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55561 Issued in CA
Practice address
9260 Alcosta Blvd
Suite B-10
San Ramon, CA 94583-4134
Phone
(925) 833-8702
Fax
(925) 833-3750
NPI assigned
Sep 17, 2007
Last updated
Dec 17, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 55561 CA Primary

Addresses

Primary practice location

9260 Alcosta Blvd
Suite B-10
San Ramon, CA 94583-4134

Mailing address

9260 Alcosta Blvd
Suite B-10
San Ramon, CA 94583-4134
Phone (925) 833-8702

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1851587539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9260 ALCOSTA BLVD",
            "address_2": "SUITE B-10",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834134",
            "telephone_number": "925-833-8702",
            "fax_number": "925-833-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 ALCOSTA BLVD",
            "address_2": "SUITE B-10",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834134",
            "telephone_number": "925-833-8702",
            "fax_number": "925-833-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTAGO",
        "first_name": "DAVID",
        "middle_name": "PALOMARES",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.