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JESUS FABIOLA GASTELUM
NPI 1063875508
Dentist in Tijuana, BAJA CALIFORNIA

Active since April 01, 2016
CALLE 4A #2013, ZONA CENTRO, TIJUANA, BAJA CALIFORNIA 22000 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jesus Fabiola Gastelum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESUS FABIOLA GASTELUM (NPI 1063875508) is a healthcare organization registered as a dentist in Tijuana, BAJA CALIFORNIA and active in the NPI registry since April 2016. The organization lists Jesus Fabiola Gastelum Gastelum, Dentist, as its authorized official.

NPPES Registry Identity

NPI1063875508
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameJESUS FABIOLA GASTELUM
Location AddressCALLE 4A #2013, ZONA CENTROTijuana, BAJA CALIFORNIA 22000
Mailing Address4364 Bonita Rd, #233Bonita, CA 91902-1421
Phone011526643295224
Organization SubpartNo
Authorized OfficialJesus Fabiola Gastelum GastelumDentist · 011526643295224
Enumeration DateApril 1, 2016
Last NPPES UpdateApril 5, 2016
✔ NPI 1063875508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ZZ · 1787539
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
CALLE 4A #2013, Tijuana, BAJA CALIFORNIA 22000
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesus Fabiola Gastelum's NPI number?

The NPI number for Jesus Fabiola Gastelum is 1063875508. It was assigned to this organization in the NPPES registry on April 1, 2016.

Where is Jesus Fabiola Gastelum located?

Jesus Fabiola Gastelum is located at Calle 4A #2013 Zona Centro, Tijuana, BAJA CALIFORNIA 22000.

What is Jesus Fabiola Gastelum's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jesus Fabiola Gastelum was last updated on April 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.