Del Mar Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31987 Issued in CA

Legal business name

DEL MAR FAMILY DENTAL

Practice address

702 S del Mar Ave Ste a
San Gabriel, CA 91776-2440

Phone

(626) 287-9781

Fax

(626) 287-4208

NPI assigned

Sep 20, 2007

Last updated

Sep 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gamal Tayab, D.D.S.NPI 1174668297

Title

Dentist

Phone

(626) 287-9781

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gamal Tayab, D.D.S.

  • General Practice Dentistry
  • San Gabriel, CA
  • NPI 1174668297
  NPD (past) Authorized official

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1982890182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 S DEL MAR AVE STE A",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917762440",
            "telephone_number": "626-287-9781",
            "fax_number": "626-287-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 S DEL MAR AVE STE A",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917762440",
            "telephone_number": "626-287-9781",
            "fax_number": "626-287-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL MAR FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "TAYAB",
        "authorized_official_first_name": "GAMAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-287-9781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Yutuc MD Inc
• Martha Rose Lopez De Armas, LCSW
• Michael Lawenko De la Paz, PT PHYSICAL THERAPIS
• Ana D De Leon
• Amy Degli Eredi, PPS
• Del Mar Medical Group
• Jianfang Deng
• Diane Boval DDS a Professional Dental Corp (Gold Coast Dental)
• Trey Dickerson
• Dignity Health (San Gabriel Valley Medical Center)

• General Practice Dentistry in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.