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DR. RODERICK FAJARDO PANGILINAN
NPI 1386711901
Dentist in San Diego, CA

Active since November 29, 2006
4123 UNIVERSITY AVE, SAN DIEGO, CA 92105(619) 521-0033(619) 521-0961 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Roderick Fajardo Pangilinan NPPES

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

DR. RODERICK FAJARDO PANGILINAN (NPI 1386711901) is an individual dentist in San Diego, California, licensed in California (54295) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1386711901
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. RODERICK FAJARDO PANGILINAN
Location Address4123 UNIVERSITY AVESan Diego, CA 92105-1418
Mailing AddressPo Box 711314Santee, CA 92072-1314 · (619) 677-0598
Phone(619) 521-0033
Fax(619) 521-0961
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateDecember 13, 2011
✔ NPI 1386711901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 54295
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.
4123 UNIVERSITY AVE, San Diego, CA 92105
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Accepted Insurance

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

Other Providers at the Same Location NPPES 4

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

DR. JULITA T. TINAMISAN
Dentist
4123 UNIVERSITY AVE
SAN DIEGO, CA 92105
San Diego County (619) 521-0012
DAVID XUDONG WANG D.D.S
Dentist (General Practice)
4123 UNIVERSITY AVE
SAN DIEGO, CA 92105
San Diego County (619) 521-0012
WESTERN DENTAL SERVICES, INC.
Dentist (General Practice)
4123 UNIVERSITY AVE
SAN DIEGO, CA 92105
San Diego County (619) 521-0012
RAGHEED AZEEZ GABRO
Dentist
4123 UNIVERSITY AVE
SAN DIEGO, CA 92105
San Diego County (619) 684-9432

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 Roderick Pangilinan's NPI number?

The NPI number for Roderick Pangilinan is 1386711901. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Roderick Pangilinan located?

Roderick Pangilinan practices at 4123 University Ave, San Diego, CA 92105. The listed phone number is (619) 521-0033.

What is Roderick Pangilinan's specialty?

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

What insurance does Roderick Pangilinan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Roderick Pangilinan 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 Roderick Pangilinan was last updated on December 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.