DR. EDITHA LEGASPI BOONGALING DMD
NPI 1366533358
Dentist - General Practice in Vallejo, CA

Active since September 27, 2006
2900 SONOMA BLVD, SUITE A, VALLEJO, CA 94590(707) 552-8684(707) 552-2980 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2019, Aug 9, 2018 (2 updates tracked since 2018).

About Dr. Editha Legaspi Boongaling Dmd NPPES

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

DR. EDITHA LEGASPI BOONGALING DMD (NPI 1366533358) is an individual general practice provider in Vallejo, California, licensed in California (40653) and active in the NPI registry since September 2006. She maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1366533358
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EDITHA LEGASPI BOONGALINGCredential: DMD
Location Address2900 SONOMA BLVD, SUITE AVallejo, CA 94590
Mailing Address2900 Sonoma Blvd, Suite AVallejo, CA 94590-3810 · (707) 552-8684 · Fax (707) 552-2980
Fax(707) 552-2980
Sole ProprietorNo
Enumeration DateSeptember 27, 2006
Last NPPES UpdateDecember 17, 20192 updates tracked since enumeration
NPI 1366533358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 40653
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.
Also ListedDentistTaxonomy 122300000X · License 40653 (CA)
2900 SONOMA BLVD, Vallejo, CA 94590

Secondary Practice Location 1

Location 1450 Sutter St Rm 1426San Francisco, CA 94108-4010 · Phone (415) 434-3088

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
2900 SONOMA BLVD, SUITE A
VALLEJO, CA 94590
Chiropractor
2900 SONOMA BLVD, SUITE B
VALLEJO, CA 94590

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 Editha Boongaling's NPI number?

The NPI number for Editha Boongaling is 1366533358. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Editha Boongaling located?

Editha Boongaling practices at 2900 Sonoma Blvd Suite A, Vallejo, CA 94590. The listed phone number is (707) 552-8684.

What is Editha Boongaling's specialty?

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

What insurance does Editha Boongaling accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Editha Boongaling 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 Editha Boongaling was last updated on December 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.