NPIMap

Organization Active NPI

Cervantes and Prado Dental Care, Inc

  • Dentist
  • Vallejo, CA
National Provider Identifier
1881916443
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54300 Issued in CA
Legal business name
CERVANTES AND PRADO DENTAL CARE, INC
Practice address
1620 Valle Vista Ave Ste 150
Vallejo, CA 94589-2886
Phone
(707) 557-5822
NPI assigned
Feb 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Dr. Veronica A Prado, DDS
Title
Cfo, Chief Financial Officer
Phone
(707) 557-5822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 54300 CA Primary

Addresses

Primary practice location

1620 Valle Vista Ave Ste 150
Vallejo, CA 94589-2886

Mailing address

PO Box 9067
Vallejo, CA 94591-9067

National Provider Directory

National Provider Directory

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": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1881916443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9067",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945919067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 VALLE VISTA AVE STE 150",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892886",
            "telephone_number": "707-557-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERVANTES AND PRADO DENTAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO, CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "707-557-5822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.