ELVIS BAQUERO


Address: 1455 N Avalon Blvd, Wilmington, CA 90744
Phone: 3105618711

ELVIS BAQUERO (NPI# 1679775829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679775829
Entity Type Individual
Full Name ELVIS BAQUERO
Credential DDS
Practice Address 1455 N Avalon Blvd
Wilmington
CA 90744
Mailing Address 1455 N Avalon Blvd
Wilmington
CA 90744-1506
Practice Telephone 3105618711
Practice Fax Number 7604961154
Mailing Telephone 7602326471
Mailing Fax Number 7604961154
Enumeration Date 2007-06-01
Last Update Date 2018-08-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
49059 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA IRS 82-3721638 01

Office Location

Street Address 1455 N AVALON BLVD
City WILMINGTON
State CA
Zip Code 90744

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659889715 Royal Family Dental Inc Preferred Provider Organization 1455 N Avalon Blvd, Wilmington, CA 90744-1506 2018-01-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649829441 Kathleen Calderon Technician 1022 W. Robidoux St., Wilmington, CA 90744 2019-09-05
1083275838 Jorge A Navarrete Licensed Vocational Nurse 117 E W Harry Bridges Blvd, Wilmington, CA 90744 2019-06-24
1457875528 Sergio Manzo Interpreter 1131 Cary Ave, Wilmington, CA 90744 2017-08-01
1922461482 Elma Estrada Physician Assistant 200 E. Anaheim Street, Wilmington, CA 90744 2016-04-01
1982074662 Tomoko Araki Acupuncturist 640 Broad Avenue, Wilmington, CA 90744 2015-10-07
1003202516 West Pacific Pharmacy Inc Pharmacy 505 West Pacific Coast Hwy, Wilmington, CA 90744 2015-04-10
1053733543 Sally Ammar Physician Assistant 714 Avalon Blvd, Wilmington, CA 90744 2014-01-17
1548432487 Julia Chase Vander Ploeg Chiropractor 123 E. F Street, Wilmingtnon, CA 90744 2008-04-01
1740495233 Dr Leonardo Chacon, M.d. Inc Point of Service 1721 Wilmington Blvd, Wilmington, CA 90744 2007-05-10
1336352103 Lourdes Uysingco Dentist 934 N Avalon Blvd, Wilmington, CA 90744 2007-05-08
Find all providers in zip 90744

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013529437 Nicholas Peter Griggs Dentist 7150 Market St Ste 130, Wilmington, NC 28411-9888 2020-08-18
1851930986 L.brett Wells Dds IIi Pllc Dentist 124 Walnut St Ste 101, Wilmington, NC 28401-4361 2020-01-07
1891357166 Alexandra Palamaru Dentist 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 2019-07-08
1497312649 Christian G Cook Dentist 7205 Wrightsville Ave Ste 105, Wilmington, NC 28403-7273 2019-05-23
1417424649 Lindell Plaza Dental LLC Dentist 1601 Milltown Rd Ste 26b, Wilmington, DE 19808-4027 2018-10-25
1699128868 Lauren Elizabeth Marechal Dentist 5000 Market St, Wilmington, NC 28405-3430 2016-07-22
1982051546 Safia Naik-azizi Dmd & Associates Pa Dentist 215 Racine Dr Ste 102, Wilmington, NC 28403-8839 2016-05-24
1508213323 Daniel Joseph Duffy Jr. Dentist 2520 Delaney Ave, Wilmington, NC 28403-6002 2016-05-22
1326468513 Edward Blake Bayley Dentist 1610 Sunset Ln, Wilmington, DE 19810-4149 2014-04-26
1255751616 Eric and Casey Burns Dds Pa Dentist 4914 Randall Pkwy, Wilmington, NC 28403-2879 2014-04-23
Find all providers in WILMINGTON

Competitor

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City WILMINGTON
Zip Code 90744

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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