Roderick Pangilinan Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RODERICK PANGILINAN DENTAL CORPORATION

Doing business as

Family Dental Care

Practice address

301 N Imperial Ave Ste F
El Centro, CA 92243-2338

Phone

(760) 353-1059

Fax

(760) 353-7378

NPI assigned

Feb 6, 2024

Organization subpart

No

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

Authorized official

Name

Roderick PangilinanNPI 1386711901

Title

D.D.S./Owner

Phone

(619) 677-0598

Specialties & licenses 1

Addresses

Other names 1

• Family Dental Care Doing business as

Locations

Practitioners 1

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

• Roderick Fajardo Pangilinan

  • Dentist
  • San Diego, CA
  • NPI 1386711901
  NPD Authorized official

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1922861400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 SKYVIEW AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439133",
            "telephone_number": "619-677-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N IMPERIAL AVE STE F",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432338",
            "telephone_number": "760-353-1059",
            "fax_number": "760-353-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODERICK PANGILINAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "PANGILINAN",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_title_or_position": "D.D.S./OWNER",
        "authorized_official_telephone_number": "619-677-0598"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hiram Noe Rocha Jr., MPSS-OISXFT
• Marcos Fernando Rocha
• Myrella Rocha
• Pauline I Rocha
• Amanda Lynn Rock
• Cara Sabrina Rodiles
• Priscilla Letayf Rodiles
• Humberto Rodriguez Vargas
• Natalia Jeanette Rodriguez-Flores
• Viviane Stephany Rodriguez-Velasquez

• Dental Clinic/Center in El Centro, CA
• Providers in El Centro, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.