Provider Demographics
NPI:1346469889
Name:BARGA, JAMES BERALDE (DDS)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:BERALDE
Last Name:BARGA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:
Other - Last Name:BARGA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:717 CALMAR AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-1712
Mailing Address - Country:US
Mailing Address - Phone:916-689-3310
Mailing Address - Fax:
Practice Address - Street 1:7850 STOCKTON BLVD
Practice Address - Street 2:SUITE 160
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-4319
Practice Address - Country:US
Practice Address - Phone:916-689-3310
Practice Address - Fax:916-689-6741
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA405331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice