DR. JIRAWAN SRIVIVATANAKUL (NPI# 1053456251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053456251 |
| Entity Type | Individual |
| Full Name | DR. JIRAWAN SRIVIVATANAKUL |
| Credential | D.D.S. |
| Practice Address |
17360 Norwalk Blvd Cerritos CA 90703-2748 |
| Mailing Address |
18735 Danielle Ave Cerritos CA 90703-6004 |
| Practice Telephone | 5624028899 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
48771 | CA | Dental Providers |
| Street Address |
17360 NORWALK BLVD |
| City | CERRITOS |
| State | CA |
| Zip Code | 90703-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265624399 | Jirawan Srivivatanakul D.d.s., Inc. | Clinic/Center | 17360 Norwalk Blvd, Cerritos, CA 90703-2748 | 2007-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909582 | Michael Wong Dental Corporation | Dentist | 11549 South Street, Cerritos, CA 90703 | 2020-10-15 |
| 1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
| 1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
| 1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
| 1558906487 | Vitruvian Care, Inc. | Health Maintenance Organization | 18000 Studebaker Road Suite 100, Cerritos, CA 90703 | 2019-11-14 |
| 1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
| 1457828097 | Angela Ofoegbu | Registered Nurse | 10733 Elgers St, Cerritos, CA 90703 | 2018-11-01 |
| 1689183352 | Zeela G Diwa | Occupational Therapist | 12736 Palm Street, Cerritos, CA 90703 | 2017-09-26 |
| 1114446119 | Cooper Lee | Physical Therapist | 18503 Noran Ave, Cerritos, CA 90703 | 2017-09-12 |
| 1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
| Find all providers in zip 90703 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909582 | Michael Wong Dental Corporation | Dentist | 11549 South Street, Cerritos, CA 90703 | 2020-10-15 |
| 1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
| 1568928984 | Compean D.d.s. A Professional Corp. | Dentist | 10945 South St Ste 200a, Cerritos, CA 90703-5366 | 2019-02-11 |
| 1184108425 | Jiyoung Ha | Dentist | 13735 La Jara Cir, Cerritos, CA 90703-6351 | 2018-09-22 |
| 1144718834 | Michael Ray Nicholson | Dentist | 10929 South St Ste 106b, Cerritos, CA 90703-5373 | 2018-04-27 |
| 1588061253 | Angela Ondine Espiritu | Dentist | 19218 Bloomfield Ave, Cerritos, CA 90703-7106 | 2014-11-25 |
| 1780986604 | Shawn Hofkes | Dentist | 11480 South St, 201, Cerritos, CA 90703-6645 | 2010-11-29 |
| 1275841496 | Palarb Boonmee | Dentist | 19625 Sabrina Ct, Cerritos, CA 90703-7360 | 2010-09-22 |
| 1275762569 | Christy Ha Thai | Dentist | 11135 183rd St, Cerritos, CA 90703-5415 | 2009-07-07 |
| 1417116245 | Arlene Bulos Kamppila | Dentist | 19629 Alida Ave, Cerritos, CA 90703-7513 | 2008-06-06 |
| Find all providers in CERRITOS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.