South Bay Pediatric Dental Group
NPI 1467649350ActiveOrganization· Dentist, Pediatric Dentistry· Chula Vista, CA
Dentist, Pediatric Dentistry in Chula Vista, California, registered in NPPES in September 2007. The authorized official on file is Todd W. Pacofsky, DMD, Partner.
Overview
| NPI | 1467649350 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 25, 2007 |
| Last updated in NPPES | Sep 25, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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