Vargas Group Inc. Dba Guadalupe Dental Clinic

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VARGAS GROUP INC. DBA GUADALUPE DENTAL CLINIC

Practice address

4016 Macdonald Ave
Richmond, CA 94805-2249

Phone

(415) 819-6689

Fax

(510) 215-0507

NPI assigned

Jun 28, 2024

Organization subpart

No

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

Authorized official

Name

Bridget Corvi

Title

Corporate Secretary

Phone

(510) 215-0143

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1972348043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 MACDONALD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948052249",
            "telephone_number": "415-819-6689",
            "fax_number": "510-215-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 MACDONALD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948052249",
            "telephone_number": "415-819-6689",
            "fax_number": "510-215-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARGAS GROUP INC. DBA GUADALUPE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "CORVI",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "510-215-0143"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Marie Valenti-Martin, R.N.
• Pamela M. Valentine, MD
• Sherlyn Jimenez Valentine, PH.D.
• Nicole Vanessa Valentino
• Alejandra Valle
• Ana Maricarmen Vargas Julca
• Gabriela Ivanna Vargas
• Jasmin Lisette Vasquez Onofre
• Vatche Cabayan Medical Corporation
• Vatche Cabayan Medical Corporation

• Dental Clinic/Center in Richmond, CA
• Providers in Richmond, 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 Jun 28, 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.