MISS KELLY KIM NGUYEN (NPI# 1235635418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235635418 |
| Entity Type | Individual |
| Full Name | MISS KELLY KIM NGUYEN |
| Credential | DDS |
| Practice Address |
339 E Leland Rd Pittsburg CA 94565-4911 |
| Mailing Address |
337 E Leland Rd Pittsburg CA 94565-4911 |
| Practice Telephone | 9254311250 |
| Mailing Telephone | 9254311250 |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 104047 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508407412 | Kelly Nguyen | Physical Therapist | 323 N Euclid St Spc 42, Santa Ana, CA 92703-3042 | 2019-10-02 |
| 1982180493 | Kelly Nguyen | Dentist | 17781 Santiago Blvd, Orange, CA 92861-4134 | 2018-07-17 |
| 1427457472 | Kelly Nguyen | Pharmacist | 106 Lac Felicity Dr, Luling, LA 70070-4280 | 2014-08-15 |
| 1972787182 | Kelly Nguyen | Pharmacist | 1206 Buchanan Dr, Santa Clara, CA 95051-3963 | 2007-12-24 |
| 1922608025 | Kelly Trang Nguyen | Pharmacist | 440 Atlanta Hwy Nw, Winder, GA 30680-7826 | 2020-10-28 |
| 1801410543 | Kelly Tram Anh Nguyen | Dentist | 5065 University Pkwy, Winston Salem, NC 27106-6083 | 2020-05-28 |
| 1528521408 | Kelly Nguyen | Physician Assistant | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 | 2019-04-09 |
| 1639634991 | Kelly Nguyen | Behavior Technician | 17284 Newhope St Ste 212, Fountain Valley, CA 92708-8201 | 2019-01-31 |
| 1023589587 | Kelly Dam Nguyen | Marriage & Family Therapist | 12912 Brookhurst St Ste 480, Garden Grove, CA 92840-4867 | 2018-12-10 |
| 1699242693 | Kelly Kim Nguyen | Pharmacist | 17779 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5237 | 2018-10-28 |
| Street Address |
339 E LELAND RD |
| City | PITTSBURG |
| State | CA |
| Zip Code | 94565-4911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942244728 | Lady Fatima Pineda Lam | Dentist | 339 E Leland Rd, Pittsburg, CA 94565-4911 | 2006-06-15 |
| 1932736774 | Ebony Shardae Helaire | Student in an Organized Health Care Education/Training Program | 339 E Leland Rd, Pittsburg, CA 94565-4911 | 2020-03-23 |
| 1427550813 | Jaclyn Young | Dentist | 339 E Leland Rd, Pittsburg, CA 94565-4911 | 2018-03-01 |
| 1952758823 | Thelma Porras-guaderrama | Dental Hygienist | 339 E Leland Rd, Pittsburg, CA 94565-4911 | 2016-05-19 |
| 1508004466 | Riza Flores Santos | Dentist | 339 E Leland Rd, Pittsburg, CA 94565-4911 | 2009-01-30 |
| 1538262738 | Alan R Smiler | Dentist | 339 E Leland Rd, Pittsburg, CA 94565-4911 | 2006-09-06 |
| 1528080470 | La Clinica De La Raza Inc | Clinic/Center | 339 E Leland Rd, Pittsburg, CA 94565-4911 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164068011 | Gina Marie Whittenburg | Counselor | 161 Sequoia Drive, Pittsburg, CA 94565 | 2019-11-25 |
| 1386287902 | Diamond Redus | Behavior Technician | 2328 Loveridge Rd Apt 209, Pittsburg, CA 94565 | 2019-10-27 |
| 1851952469 | Renee Slocum | Behavior Technician | 7567 Amador, Dublin, CA 94565 | 2019-06-25 |
| 1881258606 | Mabel Paz Zavala | Student in an Organized Health Care Education/Training Program | 3750 Roundhill Dr, Pittsburg, CA 94565 | 2019-04-26 |
| 1457810939 | Richard L Anilao | Nurse's Aide | 142 San Tomas Dr, Pittsburg, CA 94565 | 2019-03-14 |
| 1568931079 | Nashira Hudson | Behavioral Analyst | 3401 Delta Fair Blvd., Antioch, CA 94565 | 2018-11-14 |
| 1497230726 | Rosa Maria Gonzalez | Behavioral Analyst | 198 Alberts Ave, Bay Point, CA 94565 | 2018-10-02 |
| 1831670090 | Rael Bernstein Dds Apc | Dentist | 1600 N Park Blvd, Pittsburg, CA 94565 | 2018-08-27 |
| 1285120592 | Vanessa Fregoso | Behavioral Analyst | 2275 Southwood Dr., Pittsburg, CA 94565 | 2018-07-10 |
| 1457847014 | Monica Monarque | Behavioral Analyst | 2113 Cerrito Ct, Pittsburg, CA 94565 | 2018-07-06 |
| Find all providers in zip 94565 | ||||
| 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 |
|---|---|---|---|---|
| 1669968889 | Camp County Dental Pllc | Dentist | 113 M L King Jr Ave, Pittsburg, TX 75686 | 2018-07-11 |
| 1659806719 | Macklin Alberto Flores Dubon | Dentist | 221 Dawson Ct, Pittsburg, CA 94565-3664 | 2017-04-26 |
| 1174906929 | Shadi Ryad | Dentist | 2120 Railroad Ave Ste 105, Pittsburg, CA 94565-4880 | 2015-06-29 |
| 1326474776 | Minh A Ngo | Dentist | 3736 Park Pl, Pittsburg, CA 94565-5522 | 2013-09-17 |
| 1659705176 | Gurjot Kaur Sandhu | Dentist | 375 Presidio Ln, #368, Pittsburg, CA 94565-5245 | 2013-09-03 |
| 1285908251 | Dr. Terence A.cook, D.d.s. M.a.g.d.p.c. | Dentist | 113 North Ave, Pittsburg, TX 75686-1319 | 2012-03-08 |
| 1629355540 | Anu Aheer | Dentist | 2255 Oak Hills Cir Apt 150, Pittsburg, CA 94565-4231 | 2011-11-06 |
| 1295999241 | Western Dental Services, Inc. | Dentist | 2120 Railroad Rd., Suite #105, Pittsburg, CA 94565 | 2008-07-17 |
| 1790947976 | Gordon San Lai | Dentist | 337 E. Leland Road, Pittsburg, CA 94565-4911 | 2008-06-27 |
| 1801995311 | Yasaman B. Sani | Dentist | 1270 E. Leland Rd, Ste 101, Pittsburg, CA 94565 | 2006-09-21 |
| Find all providers in PITTSBURG | ||||
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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.