Organization Active NPI

Jorge de la Osa DDS.,Inc

  • Dentist
  • Pomona, CA
National Provider Identifier
1932633864
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54134 Issued in CA
Legal business name
JORGE DE LA OSA DDS.,INC
Practice address
117 W Willow St
Suite a
Pomona, CA 91768-1829
Phone
(909) 622-8818
Fax
(909) 622-8418
NPI assigned
Apr 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Dr. Jorge De la Osa, DDS
Title
Dentist
Phone
(909) 622-8818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 54134 CA Primary

Addresses

Primary practice location

117 W Willow St
Suite a
Pomona, CA 91768-1829

Mailing address

117 W Willow St
Suite a
Pomona, CA 91768-1829
Phone (909) 622-8818

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1932633864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W WILLOW ST",
            "address_2": "SUITE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917681829",
            "telephone_number": "909-622-8818",
            "fax_number": "909-622-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W WILLOW ST",
            "address_2": "SUITE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917681829",
            "telephone_number": "909-622-8818",
            "fax_number": "909-622-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE DE LA OSA DDS.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "DE LA OSA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-622-8818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.