Organization Active NPI

Camones Dental Corporation

Doing business as Golden West Dentistry

  • Dentist
  • Fontana, CA
National Provider Identifier
1902921349
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43325 Issued in CA
Legal business name
CAMONES DENTAL CORPORATION
Doing business as
Golden West Dentistry
Practice address
9922 Sierra Ave
Fontana, CA 92335-6721
Phone
(909) 822-4800
Fax
(909) 822-4899
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Victor R Camones, D.D.S
Title
President
Phone
(909) 822-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 43325 CA Primary

Addresses

Primary practice location

9922 Sierra Ave
Fontana, CA 92335-6721

Mailing address

9922 Sierra Ave
Fontana, CA 92335-6721

Other names 1

  • Golden West Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902921349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9922 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9922 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356721",
            "telephone_number": "909-822-4800",
            "fax_number": "909-822-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMONES DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMONES",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-822-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden West Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fontana, 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.