NPIMap

Organization Active NPI

Alvarez & Bernardo Dental Corporatio

  • Dentist
  • Moreno Valley, CA
National Provider Identifier
1861850091
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37788 Issued in CA
Legal business name
ALVAREZ & BERNARDO DENTAL CORPORATIO
Practice address
24655 Sunnymead Blvd
Moreno Valley, CA 92553-3760
Phone
(951) 242-6088
Fax
(951) 242-5050
NPI assigned
Feb 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Authorized official

Name
Dr. Serafin Labao Bernardo Jr., DDSNPI 1912049263
Title
President/Owner
Phone
(951) 242-6088

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 37788 CA Primary

Addresses

Primary practice location

24655 Sunnymead Blvd
Moreno Valley, CA 92553-3760

Mailing address

24655 Sunnymead Blvd
Moreno Valley, CA 92553-3760
Phone (951) 242-6088

Other identifiers 1

IdentifierTypeStateIssuer
1134261480MedicaidCA

Other names 1

  • BERNARDO & ALVAREZ DENTAL GROUP, INC Other name

National Provider Directory

National Provider Directory
Tax ID family
Alvarez Bernardo Dental Corporatio2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

24655 Sunnymead Blvd
Moreno Valley, CA 92553
Phone (951) 242-6088

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1861850091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24655 SUNNYMEAD BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533760",
            "telephone_number": "951-242-6088",
            "fax_number": "951-242-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24655 SUNNYMEAD BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533760",
            "telephone_number": "951-242-6088",
            "fax_number": "951-242-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVAREZ & BERNARDO DENTAL CORPORATIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "BERNARDO",
        "authorized_official_first_name": "SERAFIN",
        "authorized_official_middle_name": "LABAO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "951-242-6088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "37788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134261480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BERNARDO & ALVAREZ DENTAL GROUP, INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.