Organization Active NPI

RB Westwood Dental Care

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1902016884
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36387 Issued in CA
Legal business name
RB WESTWOOD DENTAL CARE
Practice address
11645 Duenda Rd
San Diego, CA 92127-1110
Phone
(858) 487-8177
Fax
(858) 487-8183
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Evelyn G Lagda, DDS
Title
President
Phone
(858) 487-8177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 36387 CA Primary

Addresses

Primary practice location

11645 Duenda Rd
San Diego, CA 92127-1110

Mailing address

11645 Duenda Rd
San Diego, CA 92127-1110
Phone (858) 487-8177

Other names 1

  • Evelyn G Lagda DMD, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

11645 Duenda Rd
San Diego, CA 92127
Phone (858) 487-8177

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902016884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 DUENDA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271110",
            "telephone_number": "858-487-8177",
            "fax_number": "858-487-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 DUENDA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271110",
            "telephone_number": "858-487-8177",
            "fax_number": "858-487-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RB WESTWOOD DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAGDA",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-487-8177",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evelyn G Lagda DMD, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.