Toma & Petros DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

48043 Issued in CA

Legal business name

TOMA & PETROS DDS INC

Practice address

3530 Camino del Rio North
Suite 109
San Diego, CA 92108

Phone

(619) 283-2093

Fax

(619) 283-0803

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Omeed Butrus Toma, DDS

Title

Associate Dentist Partner

Phone

(619) 283-2093

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Toma Petros DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Toma&Petros DDS Inc

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1194885608
  NPD tax ID

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902967383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 CAMINO DEL RIO NORTH",
            "address_2": "SUITE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "619-283-2093",
            "fax_number": "619-283-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 CAMINO DEL RIO NORTH",
            "address_2": "SUITE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "619-283-2093",
            "fax_number": "619-283-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMA & PETROS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOMA",
        "authorized_official_first_name": "OMEED",
        "authorized_official_middle_name": "BUTRUS",
        "authorized_official_title_or_position": "ASSOCIATE DENTIST PARTNER",
        "authorized_official_telephone_number": "619-283-2093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "48043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "D48043",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clifford C. Tom, M.D.
• Darci J. Tom, M.D.
• Kayla N Tom
• Lynze Yeng Tom
• Wynnis L. Tom, M.D.
• Androw Toma
• Bashar Toma
• Marc Toma
• Omeed Butrus Toma, DDS
• Toma, Petros & Evans DDS Inc.

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• 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.