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GRDENTISTRY GILBERTO OLAGUEDDSAPROFESSIONALCORPORATION NPI 1952713950


NPI Information

NPI: 1952713950
Provider Name: GRDENTISTRY GILBERTO OLAGUEDDSAPROFESSIONALCORPORATION
Classification: Exclusive Provider Organization - 302F00000X
Entity Type: Organization
Address:
3559 W RAMSEY ST STE C1
BANNING, CA
ZIP 92220
Phone: (951) 922-3993
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GRDENTISTRY GILBERTO OLAGUEDDSAPROFESSIONALCORPORATION is an exclusive provider organization in Banning, CA. The provider is (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. GRDENTISTRY GILBERTO OLAGUEDDSAPROFESSIONALCORPORATION NPI is 1952713950. The provider is registered as an organization entity type.

The provider's business location address is:

3559 W RAMSEY ST STE C1
BANNING, CA
ZIP 92220-505
Phone: (951) 922-3993
Fax: (951) 922-3991

The provider's authorized official is Gilberto Olague .
The authorized official title is President and has the following contact phone number (805) 404-1451.

The enumeration date for this NPI number is 5/24/2014 and was last updated on 5/24/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1302F00000XExclusive Provider Organization59467CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11427363514MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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