Pacific Dental Clinic
NPI 1750575403ActiveOrganization· Preferred Provider Organization· Anaheim, CA
Preferred Provider Organization in Anaheim, California, registered in NPPES in September 2007. The authorized official on file is Jorge Luis Geronimo, DDS, Dentist.
Overview
| NPI | 1750575403 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 5, 2007 |
| Last updated in NPPES | Sep 5, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 47897 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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