DR. VINCENT MATTHEW MARDESICH DDS.
NPI 1235242306
Dentist - General Practice in San Pedro, CA

Q: What is Vincent Mardesich's NPI number?

The NPI number for Vincent Mardesich is 1235242306. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Q: What is Vincent Mardesich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Vincent Mardesich was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 15, 2006

1360 W 6TH ST, STE. 210 ,WEST BUILDING, SAN PEDRO, CA 90732(310) 514-1000(310) 514-1005 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Vincent Matthew Mardesich Dds. NPPES

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

DR. VINCENT MATTHEW MARDESICH DDS. (NPI 1235242306) is an individual general practice provider in San Pedro, California, licensed in California (35430) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1235242306

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. VINCENT MATTHEW MARDESICHCredential: DDS.

Location Address1360 W 6TH ST, STE. 210 ,WEST BUILDINGSan Pedro, CA 90732-3514

Mailing Address1360 W 6th St, Ste. 210 ,west BuildingSan Pedro, CA 90732-3514 · (310) 514-1000 · Fax (310) 514-1005

Phone(310) 514-1000

Fax(310) 514-1005

Sole ProprietorYes

Enumeration DateAugust 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1235242306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 35430

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.

1360 W 6TH ST, San Pedro, CA 90732

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRAXIS PHYSICAL THERAPY, INC.

Physical Therapist

1360 W 6TH ST, #210 NORTH BUILDING
SAN PEDRO, CA 90732

Los Angeles County (310) 548-3130

DR. EMMETT COX II M.D.

Orthopaedic Surgery

1360 W 6TH ST, WEST BUILDING - SUITE #245
SAN PEDRO, CA 90732

Los Angeles County (310) 519-3146

KENNETH JOEL MILLER MD

Ophthalmology

1360 W 6TH ST, SUITE 215
SAN PEDRO, CA 90732

Los Angeles County (310) 547-9991

BARRY RODGVELLER DPM PODIATRY CORPORATION

Podiatrist

1360 W 6TH ST, SUITE 240
SAN PEDRO, CA 90732

Los Angeles County (310) 548-3311

MOSHE FAYNSOD, M.D. INC

Surgery (Surgical Oncology)

1360 W 6TH ST, SUITE 315
SAN PEDRO, CA 90732

Los Angeles County (310) 514-1150

ADRIANA CHAVEZ

Social Worker (Clinical)

1360 W 6TH ST
SAN PEDRO, CA 90732

Los Angeles County (213) 503-6256

JAMES T LONDON M D A PROFESSIONAL CORPORATION

Orthopaedic Surgery

1360 W 6TH ST, SUITE 305
SAN PEDRO, CA 90732

Los Angeles County (310) 833-2406

HERBERT G MARTIN DDS INC

Dentist

1360 W 6TH ST, #110
SAN PEDRO, CA 90732

Los Angeles County (310) 833-4439

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 Vincent Mardesich's NPI number?

The NPI number for Vincent Mardesich is 1235242306. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Vincent Mardesich located?

Vincent Mardesich practices at 1360 W 6th St Ste. 210 ,west Building, San Pedro, CA 90732. The listed phone number is (310) 514-1000.

What is Vincent Mardesich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Vincent Mardesich accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Vincent Mardesich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vincent Mardesich was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.