DR. MARIO J OLIVOTTO (NPI# 1104164888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104164888 |
Entity Type | Individual |
Full Name | DR. MARIO J OLIVOTTO |
Credential | D.D.S. |
Practice Address |
9855 Erma Rd Suite 103 San Diego CA 92131-3001 |
Mailing Address |
15996 Turtleback Rd San Diego CA 92127-2031 |
Practice Telephone | 8585780120 |
Mailing Telephone | 3104908046 |
Enumeration Date | 2013-01-30 |
Last Update Date | 2013-01-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
61568 | CA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | CA DENTAL LICENSE | 61568 | 01 |
Street Address |
9855 ERMA RD SUITE 103 |
City | SAN DIEGO |
State | CA |
Zip Code | 92131-3001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932175098 | Mark Paul Stanton | Ophthalmology | 9855 Erma Rd, Suite 130, San Diego, CA 92131 | 2006-02-27 |
1316472848 | Jurgens Chiropractic,p.c. | Chiropractor | 9855 Erma Rd, Ste 104, San Diego, CA 92131-3001 | 2017-04-21 |
1861933897 | Operation Samahan Inc | Clinic/Center | 9855 Erma Rd, Suite 105 & 106, San Diego, CA 92131-3001 | 2017-03-09 |
1053863928 | J Yang Dental Corporation | Dentist | 9855 Erma Rd, Suite 110, San Diego, CA 92131-3001 | 2016-10-26 |
1710232707 | Kristen Leigh Whetsell | Dentist | 9855 Erma Rd, Suite 103, San Diego, CA 92131-3001 | 2012-07-17 |
1861782070 | Karen R Hever | Physical Therapist | 9855 Erma Rd, Suite 106, San Diego, CA 92131-3001 | 2011-04-10 |
1023323763 | Dr. Andrew Huttenhoff Optometry | Optometrist | 9855 Erma Rd, Suite 130, San Diego, CA 92131-3001 | 2010-08-17 |
1184953721 | Miranda Chiropractic Specialty Group Inc. | Chiropractor | 9855 Erma Rd, Suite 129, San Diego, CA 92131-3001 | 2009-12-10 |
1073769576 | Michael W. Gable | Dentist | 9855 Erma Rd, Suite 138, San Diego, CA 92131-3001 | 2008-08-15 |
1538353032 | Mark P. Stanton M.d. Inc. | Clinic/Center | 9855 Erma Rd, Suite 130, San Diego, CA 92131-3001 | 2007-08-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609416965 | Susan Cannon | Behavior Technician | 10680 Treena Street Suite 170, San Diego, CA 92131 | 2020-01-14 |
1265929442 | Lydia Besterfeldt | Registered Nurse | 9967 Mesa Madera Dr, San Diego, CA 92131 | 2018-04-13 |
1235649690 | Mac Dental Corporation | Oral & Maxillofacial Surgery | 9855 Erma Road, #110, Scripps Periodontics, San Diego, CA 92131 | 2017-10-11 |
1679019087 | Karyn Rose Giaquinto Fistonich | Assistant Behavior Analyst | 10060 Old Grove Road, San Diego, CA 92131 | 2017-01-09 |
1710439559 | Fred Finch Youth Center Cares | Psychologist | 10174 Old Grove Road, Sutie 100, San Diego, CA 92131 | 2016-10-27 |
1346647153 | Neurosound, Inc. | Specialist | 10755 Scripps Poway Parkway, Suite 581, San Diego, CA 92131 | 2014-11-21 |
1679985329 | Catherine Margaret Myers | Counselor | 10065 Old Grove Road, Suite 200, San Diego, CA 92131 | 2014-05-29 |
1225399512 | Sarah Merrill | Family Medicine | 9909 Mira Mesa Blvd Ste 200, San Diego, CA 92131 | 2012-06-03 |
1386964997 | Nicole Jacaruso Skinner | Physical Therapist | 10555 Pine Falls Ct, San Diego, CA 92131 | 2010-06-04 |
1316272636 | David Paul Anderson | Chiropractor | 10585 Scripps Poway Parkway, #c, San Diego, CA 92131 | 2009-10-05 |
Find all providers in zip 92131 |
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 |
---|---|---|---|---|
1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
1831797489 | Lily Neskin | Dentist | 4454 Shorepointe Way, San Diego, CA 92130-8635 | 2020-10-15 |
1487251294 | Zeki Abdulaali | Dentist | 1501 India St Unit 607, San Diego, CA 92101-2449 | 2020-10-05 |
1629681895 | Elizabeth Rodriguez | Dentist | 14701 Via Bettona Ste 215, San Diego, CA 92127-4808 | 2020-08-27 |
1679183602 | Hayat Fahliogullari-smith | Dentist | 1281 9th Ave Unit 1309, San Diego, CA 92101-4655 | 2020-08-04 |
1235768631 | Virgnia Padua Mattson D.m.d. | Dentist | 11717 Bernardo Plaza Ct Ste 100, San Diego, CA 92128-2419 | 2020-04-07 |
1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
1215568043 | Hage Dental Corporation | Dentist | 3365 Rosecrans St Ste C, San Diego, CA 92110-4256 | 2020-01-30 |
1275174310 | Yige Zhao Dental Corporation | Dentist | 9840 Carmel Mountain Rd, San Diego, CA 92129-2812 | 2019-09-30 |
1083255111 | Wayne David Gonzales | Dentist | 8031 Linda Vista Rd # 210, San Diego, CA 92111-5110 | 2019-09-30 |
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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.