KAVIN GUSTAFSON (NPI# 1063658466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063658466 |
| Entity Type | Individual |
| Full Name | KAVIN GUSTAFSON |
| Credential | DDS |
| Practice Address |
1000 Skyline Blvd Avenal CA 93204-1850 |
| Mailing Address |
Po Box 263 Redlands CA 92373-0081 |
| Practice Telephone | 5593864500 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2013-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 57925 | CA | Dental Providers |
| Street Address |
1000 SKYLINE BLVD |
| City | AVENAL |
| State | CA |
| Zip Code | 93204-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932169240 | Avenal Community Health Center | Clinic/Center | 1000 Skyline Blvd, Avenal, CA 93204-1850 | 2006-03-23 |
| 1699386730 | Emilian Grigore | Physician Assistant | 1000 Skyline Blvd, Avenal, CA 93204-1850 | 2020-08-12 |
| 1770192668 | Marco Garcia | Dentist | 1000 Skyline Blvd, Avenal, CA 93204-1850 | 2020-07-27 |
| 1063049781 | Kristin Lehr | Family Medicine | 1000 Skyline Blvd, Avenal, CA 93204-1850 | 2020-03-24 |
| 1346692027 | Alejandro Martinez Tamayo | Physician Assistant | 1000 Skyline Blvd, Avenal, CA 93204-1850 | 2016-07-06 |
| 1174994321 | Candida Vazquez | Registered Nurse | 1000 Skyline Blvd, Avenal, CA 93204-1850 | 2015-10-14 |
| 1881064962 | Maria Moreno | Dental Hygienist | 1000 Skyline Blvd, Avenal, CA 93204-1850 | 2015-10-01 |
| 1235562224 | Avenal Community Health Center | Clinic/Center | 1000 Skyline Blvd, Avenal, CA 93204-1850 | 2013-08-14 |
| 1871834119 | Karen Marie Christensen | Nurse Practitioner | 1000 Skyline Blvd, Avenal, CA 93204-1850 | 2013-03-12 |
| 1801113675 | Carolyn Ashley Wanyonyi | Social Worker | 1000 Skyline Blvd, Avenal, CA 93204-1850 | 2010-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851658595 | Dallin Andersen | Physician Assistant | 216 East Fresno Street, Avenal, CA 93204 | 2012-04-19 |
| 1679804199 | Bert Kirby Simpson | Psychologist | 5357 Yankee Canyon Dr, Lake Isabella, CA 93204 | 2010-01-22 |
| 1710161898 | William Burns | Dentist | Avenal State Prison, #1 Kings Way, Avenal, CA 93204 | 2007-12-24 |
| 1760695217 | Ziad M Dagher | Dentist | 310 W Shaw College, Fresno, CA 93204 | 2007-05-08 |
| 1588786834 | Dean Robinson | Dentist | 1 Kings Wy, Avenal State Prison, Dental Dept, Avenal, CA 93204 | 2007-04-06 |
| 1326132697 | Don Glen Lindquist | Dentist | #1 Kings Way, Avenal State Prison, Avenal, CA 93204 | 2006-10-03 |
| 1376178103 | Corrections and Rehabilitation | Pharmacy | 1 Kings Way, Avenal, CA 93204 | 2020-03-12 |
| 1457688111 | Ruth Ellen De Larios | Counselor | 1 Kings Way, Avenal, CA 93204 | 2009-11-17 |
| 1932435419 | Melissa Sue Alvarez | Counselor | #1 Kings Way, Avenal, CA 93204 | 2009-10-19 |
| 1548490147 | Elaine Greeley Force | Psychologist | 1 Kings Way, Avenal, CA 93204 | 2009-07-17 |
| Find all providers in zip 93204 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588786834 | Dean Robinson | Dentist | 1 Kings Wy, Avenal State Prison, Dental Dept, Avenal, CA 93204 | 2007-04-06 |
| 1326132697 | Don Glen Lindquist | Dentist | #1 Kings Way, Avenal State Prison, Avenal, CA 93204 | 2006-10-03 |
| 1497920342 | Tyler Jensen Smith | Dentist | 1 Kings Way, Avenal, CA 93204-9708 | 2008-04-22 |
| 1720265697 | Robert Volney Justice | Dentist | #1 Kings Way, Asp, Avenal, CA 93204 | 2008-01-23 |
| 1073795126 | Norman Nha D. Nguyen | Dentist | 1 Kings Way, Avenal, CA 93204-9708 | 2007-11-30 |
| 1184671497 | Timothy B Malan | Dentist | 1 Kings Way, Avenal State Prison, Avenal, CA 93204-9708 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447057 | Sienna Palmer Ogbevoen Dds, Inc. | Dentist | 27871 Medical Center Rd Ste 290, Mission Viejo, CA 92691-6440 | 2020-11-07 |
| 1821699737 | William Bill Ngo | Dentist | 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 | 2020-11-06 |
| 1134720022 | Iee Shin | Dentist | 30406 Haun Rd Ste 740, Menifee, CA 92584-6816 | 2020-11-05 |
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1467053660 | Gurjot Sidhu Dds Dental Corporation | Dentist | 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 | 2020-11-04 |
| 1821699133 | Ayesha Ahmad | Dentist | 4910 Chapparal Way, Banning, CA 92220-3353 | 2020-11-03 |
| 1407457856 | Yiyang Zou | Dentist | 333 W El Camino Real Ste 260, Sunnyvale, CA 94087-8127 | 2020-11-03 |
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1518568138 | Raime Shah | Dentist | 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 | 2020-11-02 |
| 1558961359 | Tony Tataro | Dentist | 5700 Village Oaks Dr Apt 1222, San Jose, CA 95123-3771 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KAVIN GUSTAFSON.
| 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.