Cesar Carrasco DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CESAR CARRASCO DDS INC

Practice address

21847 S Avalon Blvd
Carson, CA 90745

Phone

(310) 549-9710

Fax

(310) 549-4049

NPI assigned

Jan 18, 2019

Organization subpart

Yes

Parent organization

CESAR CARRASCO DDS INCAs reported in NPPES

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

Authorized official

Name

Cesar E CarrascoNPI 1366814477

Title

President

Phone

(818) 392-9634

Specialties & licenses 1

Addresses

Part of

Cesar Carrasco DDS Inc

Locations

Practitioners 2

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

• Cesar Carrasco, D.D.S.

  • Dentist
  • Torrance, CA
  • NPI 1366814477
  NPD (past) Authorized official
• Randolph Lum, DDS

  • Dentist
  • Carson, CA
  • NPI 1649461088
  NPD (past)

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1891269262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21847 S AVALON BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "90745",
            "telephone_number": "310-549-9710",
            "fax_number": "310-549-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21847 S AVALON BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "90745",
            "telephone_number": "310-549-9710",
            "fax_number": "310-549-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CESAR CARRASCO DDS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CESAR CARRASCO  DDS INC",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-392-9634"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maylin Cenabre
• Central City Healthcare,LLC
• Clarissa Cervantes, DDS
• Michael M Cervantes, DMD
• Yolanda S Cervantes, DMD
• Adriana Chagollan, B.S
• Lorraine Nicole Gonzales Chai, DNP, FNP-C
• Aniceto B Chambers III
• Alike Chandler, LMFT
• Beth Ann Chapman, R.P.T.

• Dentist in Carson, CA
• Providers in Carson, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.