Individual provider Active NPI

John Hovanes Gegamyan

  • Dentist
  • Murrieta, CA
National Provider Identifier
1952034092
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
107544 Issued in CA
Practice address
40384 Calle Real
Murrieta, CA 92563-5904
Phone
(818) 312-3432
NPI assigned
Jul 6, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 107544 CA Primary

Addresses

Primary practice location

40384 Calle Real
Murrieta, CA 92563-5904

Mailing address

40384 Calle Real
Murrieta, CA 92563-5904
Phone (818) 312-3432

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://mail.google.com/mail/u/1/?ogbl#inbox Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
107544CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
J. Gegamyan Dental Corp CurrentSince Mar 17, 2024 Accepting new patients

Locations

32382 Del Obispo St
Ste C2
San Juan Capistrano, CA 92675
Phone (949) 493-6006

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1952034092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40384 CALLE REAL",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635904",
            "telephone_number": "818-312-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40384 CALLE REAL",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635904",
            "telephone_number": "818-312-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEGAMYAN",
        "first_name": "JOHN",
        "middle_name": "HOVANES",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://mail.google.com/mail/u/1/?ogbl#inbox",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "40384 Calle Real",
            "city": "Murrieta",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925635904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.