Organization Active NPI

Flores, Sobero, and Yabar Dental Corporation

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1922167386
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44171 Issued in CA
Legal business name
FLORES, SOBERO, AND YABAR DENTAL CORPORATION
Practice address
5800 Van Buren Blvd
Ste 110
Riverside, CA 92503-9032
Phone
(951) 688-0046
Fax
(951) 688-0057
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Dr. Wilmer Yabar, D.D.S.
Title
President
Phone
(951) 688-0046

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 44366 CA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 43509 CA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 44171 CA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 49649 CA

Addresses

Primary practice location

5800 Van Buren Blvd
Ste 110
Riverside, CA 92503-9032

Mailing address

5800 Van Buren Blvd
Ste 110
Riverside, CA 92503-9032
Phone (951) 688-0046

Other identifiers 2

IdentifierTypeStateIssuer
G93066-01MedicaidCA
01528540OtherCAUNITED CONCORDIA

Other names 1

  • Rancho Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Flores Sobero and Yabar Dental Corporation2 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.

Locations

5800 Van Buren Blvd
Ste 110
Riverside, CA 92503
Phone (951) 688-0046

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1922167386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 VAN BUREN BLVD",
            "address_2": "STE 110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925039032",
            "telephone_number": "951-688-0046",
            "fax_number": "951-688-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 VAN BUREN BLVD",
            "address_2": "STE 110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925039032",
            "telephone_number": "951-688-0046",
            "fax_number": "951-688-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORES, SOBERO, AND YABAR DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "YABAR",
        "authorized_official_first_name": "WILMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-688-0046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44366",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43509",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44171",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49649",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G93066-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "01528540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.