Organization Active NPI

Angelo Cacciatore DMD, Inc.

  • Pediatric Dentistry
  • San Diego, CA
National Provider Identifier
1992600027
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ANGELO CACCIATORE DMD, INC.
Practice address
12778 Rancho Penasquitos Blvd Ste a
San Diego, CA 92129-2947
Phone
(917) 468-5582
NPI assigned
Oct 9, 2026
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Authorized official

Name
Angelo Cacciatore, DMDNPI 1043983174
Title
Ceo
Phone
(917) 468-5582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

12778 Rancho Penasquitos Blvd Ste a
San Diego, CA 92129-2947

Mailing address

PO Box 483
San Luis Rey, CA 92068-0483
Phone (917) 468-5582

National Provider Directory

National Provider Directory

Locations

12778 Rancho Penasquitos Blvd
Ste A
San Diego, CA 92129
Phone (858) 780-9794

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1992600027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 483",
            "city": "SAN LUIS REY",
            "state": "CA",
            "postal_code": "920680483",
            "telephone_number": "917-468-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12778 RANCHO PENASQUITOS BLVD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292947",
            "telephone_number": "917-468-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELO CACCIATORE DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "CACCIATORE",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-468-5582",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; 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.