Active NPI
Angelo Cacciatore DMD, Inc.
- Pediatric Dentistry
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angelo Cacciatore, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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 DirectoryLocations
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.
-
- Pediatric Dentistry
- Corona, CA
- NPI 1043983174
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.