Organization Active NPI

Julian M. Tudose, DDS, Inc

  • Dental Clinic/Center
  • Yucaipa, CA
National Provider Identifier
1982990313
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
49821 Issued in CA
Legal business name
JULIAN M. TUDOSE, DDS, INC
Practice address
32999 Yucaipa Blvd
Ste# 114
Yucaipa, CA 92399-1963
Phone
(909) 790-2941
Fax
(909) 790-2942
NPI assigned
Jun 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Julian M TudoseNPI 1659579407
Title
Owner
Phone
(909) 790-2941

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 49821 CA Primary

Addresses

Primary practice location

32999 Yucaipa Blvd
Ste# 114
Yucaipa, CA 92399-1963

Mailing address

32999 Yucaipa Blvd
Ste# 114
Yucaipa, CA 92399-1963
Phone (909) 790-2941

National Provider Directory

National Provider Directory

Locations

32999 Yucaipa Blvd
Ste 114
Yucaipa, CA 92399
Phone (909) 790-2941

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1982990313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32999 YUCAIPA BLVD",
            "address_2": "STE# 114",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923991963",
            "telephone_number": "909-790-2941",
            "fax_number": "909-790-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32999 YUCAIPA BLVD",
            "address_2": "STE# 114",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923991963",
            "telephone_number": "909-790-2941",
            "fax_number": "909-790-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIAN M. TUDOSE, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "TUDOSE",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-790-2941"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.