Individual provider Active NPI

Albert Pascual, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • National City, CA
National Provider Identifier
1952551814
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
57647 Issued in CA
Practice address
1240 E Plaza Blvd Ste 605
National City, CA 91950-3663
Phone
(619) 267-8905
NPI assigned
Sep 26, 2008
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 57647 CA Primary

Addresses

Primary practice location

1240 E Plaza Blvd Ste 605
National City, CA 91950-3663

Mailing address

1240 E Plaza Blvd Ste 605
National City, CA 91950-3663
Phone (619) 267-8905

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Albert Pascual DDS Ms Inc CurrentSince Oct 6, 2024 Accepting new patients
Richard Grant DDS Inc Past Accepting new patients

Locations

1240 E Plaza Blvd
Ste 605
National City, CA 91950
Phone (619) 267-8905

2240 E Plaza Blvd
Ste M
National City, CA 91950
Phone (619) 267-8905

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1952551814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E PLAZA BLVD STE 605",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503663",
            "telephone_number": "619-267-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E PLAZA BLVD STE 605",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503663",
            "telephone_number": "619-267-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUAL",
        "first_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-26",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "57647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.