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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Jorge L. Geronimo, DDS Prof. Dental Corp.

Preferred Provider Organization in Riverside, CA · enumerated 2015 · authorized official Jorge Geronimo, Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265809065

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Registry record

Entity type Organization (Type 2)
Legal business name Jorge L. Geronimo, DDS Prof. Dental Corp.
Parent organization Pacific Dental Clinic
Practice address 9720 Magnolia Ave Suite #100, Riverside, CA, 92503
Fax (951) 696-3887
Enumeration date Aug 27, 2015
Last updated in NPPES Jan 3, 2020

Taxonomy & classification

305R00000X Preferred Provider Organization Managed Care Organizations · License 47897 (CA) Primary

Authorized official

Name Jorge Geronimo
Title Dentist

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-01-03. Verify at npiregistry.cms.hhs.gov.
Where is Jorge L. Geronimo, DDS Prof. Dental Corp. located?
The practice location on file with NPPES is in Riverside, CA.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-01-03.