KJ Cabugao DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KJ CABUGAO DDS INC

Doing business as

Walker Creek Dental

Practice address

301 Alamo Dr Ste I
Vacaville, CA 95688-4246

Phone

(707) 446-4644

NPI assigned

Apr 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kevin James Cabugao, DDS, MBA

Title

Owner

Phone

(415) 683-7523

Specialties & licenses 1

Addresses

Other names 1

• Walker Creek Dental Doing business as

Tax ID family

Encore Dental at Napa2 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.

• KJ Cabugao DDS Inc

  • General Practice Dentistry
  • Napa, CA
  • NPI 1962905125
  NPD tax ID

Locations

Practitioners 2

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

• Kevin Scott Walker, D.D.S.

  • Dentist
  • Laguna Niguel, CA
  • NPI 1881956308
  NPD (past)
• Scott A. Walker, DDS

  • General Practice Dentistry
  • Vacaville, CA
  • NPI 1508984253
  NPD (past)

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1871112052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DUFFY CT",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231707",
            "telephone_number": "415-683-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ALAMO DR STE I",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884246",
            "telephone_number": "707-446-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJ CABUGAO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "CABUGAO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-683-7523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MBA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walker Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Kindermann, PH.D.
• Meng King, DO
• Noelani M'Lynn Kinion
• Kristin Dewell Kirby, MFT
• Michael S Kitzes, LMFT
• Daniel Klein, PA-C
• Holly Pulket Klemme, P.T.
• Amy Glynn Klotz, R.D.
• Rachelle Holt Knight, M.S.
• Susan Efford Knight

• General Practice Dentistry in Vacaville, CA
• Providers in Vacaville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.