Organization Active NPI

Cluff DDS a Professional Dental Corporation

  • General Practice Dentistry
  • Lakeside, CA
National Provider Identifier
1902394182
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CLUFF DDS A PROFESSIONAL DENTAL CORPORATION
Practice address
9447 Winter Gardens Blvd
Lakeside, CA 92040-4540
Phone
(619) 443-3948
Fax
(619) 443-3938
NPI assigned
Apr 24, 2018
Last updated
Apr 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Authorized official

Name
Dr. Ana I Cluff, DDSNPI 1598960676
Title
Owner
Phone
(619) 443-3948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

9447 Winter Gardens Blvd
Lakeside, CA 92040-4540

Mailing address

9447 Winter Gardens Blvd
Lakeside, CA 92040-4540
Phone (619) 443-3948

National Provider Directory

National Provider Directory

Locations

9447 Winter Gardens Blvd
Lakeside, CA 92040
Phone (619) 443-3948

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1902394182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9447 WINTER GARDENS BLVD",
            "city": "LAKESIDE",
            "state": "CA",
            "postal_code": "920404540",
            "telephone_number": "619-443-3948",
            "fax_number": "619-443-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9447 WINTER GARDENS BLVD",
            "city": "LAKESIDE",
            "state": "CA",
            "postal_code": "920404540",
            "telephone_number": "619-443-3948",
            "fax_number": "619-443-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLUFF DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "CLUFF",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-443-3948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.