Active NPI
Francisco C Enverga, DDS
- General Practice Dentistry
- Ontario, CA
National Provider Identifier
1871502377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37413
- Practice address
- 2508 S Grove Ave
Ontario, CA 91761-6253 - Phone
- (909) 923-7881
- Fax
- (909) 923-7852
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- 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 | 37413 | CA | Primary |
Addresses
Primary practice location
2508 S Grove Ave
Ontario, CA 91761-6253
Mailing address
2508 S Grove Ave
Ontario, CA 91761-6253
Phone (909) 923-7881
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37413 | Other | CA | DENTAL LICENSE NO. |
| 508330 | Other | CA | UNITED CONCORDIA I. D. |
| B37413-01 | Medicaid | CA |
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 |
|---|---|---|---|
| 37413 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Francisco C Enverga DDS, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Ontario, CA
- NPI 1255897617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296086400000",
"number": "1871502377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2508 S GROVE AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917616253",
"telephone_number": "909-923-7881",
"fax_number": "909-923-7852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2508 S GROVE AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917616253",
"telephone_number": "909-923-7881",
"fax_number": "909-923-7852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENVERGA",
"first_name": "FRANCISCO",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2011-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "37413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE NO.",
"identifier": "37413",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA I. D.",
"identifier": "508330",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B37413-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.