JUAN ANTONIO TREJO CANCHOLA DENTAL CORPORATION (NPI# 1215344783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215344783 |
| Entity Type | Organization |
| Organization Name | JUAN ANTONIO TREJO CANCHOLA DENTAL CORPORATION |
| Practice Address |
9867 Magnolia Ave Ste E Riverside CA 92503-3519 |
| Practice Telephone | 9513522112 |
| Practice Fax Number | 9513522088 |
| Mailing Telephone | 9513522112 |
| Mailing Fax Number | 9513522088 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |
| Authorized Official Name | DR. JUAN ANTONIO T. TREJO CANCHOLA (MANAGING DENTIST) |
| Authorized Official Telephone | 9518420803 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 61049 | CA | Managed Care Organizations |
| Street Address |
9867 MAGNOLIA AVE STE E |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447412762 | Girlie Aquino Uy | Dentist | 9867 Magnolia Ave Ste E, Riverside, CA 92503-3519 | 2008-06-27 |
| 1871837013 | Girlie Aquino Uy Dds Inc. | Health Maintenance Organization | 9867 Magnolia Ave Ste E, Riverside, CA 92503-3519 | 2012-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528506870 | Eye C You Optometry, Inc | Point of Service | 1299 University Ave, Suite 103, Riverside, CA 92507-7235 | 2017-02-07 |
| 1154664183 | Medical Home Center, Inc | Point of Service | 9194 Magnolia Ave Ste 201, Riverside, CA 92503-3872 | 2013-03-28 |
| 1972838670 | Carolyn E. Wylie Center | Point of Service | 4161 Brockton Avenue, Riverside, CA 92501 | 2009-10-14 |
| 1831570837 | Cvs Health | Point of Service | 444 Willett Ave, Riverside, RI 02915-2515 | 2015-06-15 |
| 1386912418 | Walgreens | Point of Service | 8044 Limonite Ave, Riverside, CA 92509-6107 | 2011-12-03 |
| 1861624132 | County of Riverside Department of Mental Health | Point of Service | 9990 County Farm Rd Ste 6, Riverside, CA 92503-3542 | 2009-08-20 |
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| 1770136426 | Hmk Medical Transportation | Point of Service | 267 Aldama Ave, Pomona, CA 91767-1749 | 2019-07-22 |
| 1427516681 | Klifford T Kapus Dds., Msd A Dental Corporation | Point of Service | 4200 East Ave Ste 100, Livermore, CA 94550-4945 | 2019-03-06 |
| 1821553850 | Reginald Washington | Point of Service | 2733 Lemon Grove Ave, Lemon Grove, CA 91945-2938 | 2019-02-04 |
| 1417432246 | Access Multilingual Services, Inc. | Point of Service | 11041 Santa Monica Blvd, #813, Los Angeles, CA 90025-3523 | 2018-09-27 |
| Find all providers with the same taxonomy | ||||
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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.