DR. LOC BAO D.D.S.
NPI 1770750424
Dentist - General Practice in San Diego, CA

Active since May 13, 2008
4236 EL CAJON BLVD, SAN DIEGO, CA 92105(619) 584-4015(619) 584-4016 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Loc Bao D.d.s. NPPES

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

DR. LOC BAO D.D.S. (NPI 1770750424) is an individual general practice provider in San Diego, California, licensed in California (44290) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1770750424
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LOC BAOCredential: D.D.S.
Location Address4236 EL CAJON BLVDSan Diego, CA 92105-1230
Mailing Address4236 El Cajon BlvdSan Diego, CA 92105-1230 · (619) 584-4015 · Fax (619) 584-4016
Fax(619) 584-4016
Sole ProprietorNo
Enumeration DateMay 13, 2008
NPI 1770750424 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 · 44290
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.
4236 EL CAJON BLVD, San Diego, CA 92105

Other Identifiers 1

OtherD44290CA · Denti-cal

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.

Dentist (General Practice)
4236 EL CAJON BLVD
SAN DIEGO, CA 92105
Dentist (General Practice)
4236 EL CAJON BLVD
SAN DIEGO, CA 92105
Dentist (General Practice)
4236 EL CAJON BLVD
SAN DIEGO, CA 92105
Dentist (General Practice)
4236 EL CAJON BLVD
SAN DIEGO, CA 92105

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 Loc Bao's NPI number?

The NPI number for Loc Bao is 1770750424. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Where is Loc Bao located?

Loc Bao practices at 4236 El Cajon Blvd, San Diego, CA 92105. The listed phone number is (619) 584-4015.

What is Loc Bao's specialty?

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

When was this NPI record last updated?

The NPPES record for Loc Bao was last updated on May 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.