CASTRO VALLEY DENTAL CARE – NPI #1124540950
Clinic/Center

CASTRO VALLEY DENTAL CARE is an AHC clinic located in CASTRO VALLEY, CA. NPPES has assigned the NPI number 1124540950 to CASTRO VALLEY DENTAL CARE on July 13, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CASTRO VALLEY DENTAL CARE below.

NPI Profile for
CASTRO VALLEY DENTAL CARE

NPI Number
1124540950
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CASTRO VALLEY DENTAL CARE
Primary location
3603 JAMISON WAY
CASTRO VALLEY, CA 94546
Phone: (510) 881-1924 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CAROL LEONARD
OFFICE MANAGER
Phone: (510) 881-1924
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 CA 57136

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.