Organization Active NPI

Sonia Arevalo DMD Inc

Doing business as Ceres Pediatric Dentistry

  • Dental Clinic/Center
  • Ceres, CA
National Provider Identifier
1861196172
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SONIA AREVALO DMD INC
Doing business as
Ceres Pediatric Dentistry
Practice address
2561 3Rd St Ste a
Ceres, CA 95307-3230
Phone
(209) 538-9298
NPI assigned
Mar 29, 2023
Last updated
Mar 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Dr. Sonia Arevalo, DMDNPI 1134485907
Title
President
Phone
(213) 220-7461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

2561 3Rd St Ste a
Ceres, CA 95307-3230

Mailing address

2561 3Rd St Ste a
Ceres, CA 95307-3230
Phone (209) 538-9298

Other names 1

  • Ceres Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2561 3rd St
Ste A
Ceres, CA 95307
Phone (209) 538-9298

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1861196172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 3RD ST STE A",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953073230",
            "telephone_number": "209-538-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 3RD ST STE A",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953073230",
            "telephone_number": "209-538-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONIA AREVALO DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "AREVALO",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-220-7461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ceres Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ceres, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.