VALENCIA TATANIA LUCKMAN (NPI# 1275888257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275888257 |
| Entity Type | Individual |
| Full Name | VALENCIA TATANIA LUCKMAN |
| Credential | D.O. |
| Practice Address |
3737 Moraga Ave B-206 San Diego CA 92117-5492 |
| Practice Telephone | 8582730700 |
| Practice Fax Number | 8582738679 |
| Mailing Telephone | 8582730700 |
| Mailing Fax Number | 8582738679 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 43462 | CA | Dental Providers |
| Street Address |
3737 MORAGA AVE B-206 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92117-5492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821156 | Harriet F Seldin | Dentist | 3737 Moraga Ave, Ste B113, San Diego, CA 92117-5356 | 2005-06-16 |
| 1093274623 | Gabrielle Thomason | Physical Therapist | 3737 Moraga Ave, San Diego, CA 92117-5404 | 2019-03-13 |
| 1932654779 | N2 Periodontics | Dentist | 3737 Moraga Ave, Suite A104, San Diego, CA 92117-5404 | 2016-08-22 |
| 1780061549 | Valencia Luckman Dds Inc | Dentist | 3737 Moraga Ave, B206, San Diego, CA 92117-5404 | 2015-04-30 |
| 1679966881 | Monica Perlman Md Inc. | Family Medicine | 3737 Moraga Ave, Suite B-103, San Diego, CA 92117-5352 | 2015-03-12 |
| 1154711521 | Edmund Walt Jay | Dentist | 3737 Moraga Ave, Ste. B-300, San Diego, CA 92117-5404 | 2015-01-23 |
| 1992063259 | Theresa Boone | Acupuncturist | 3737 Moraga Ave, Suite A2, San Diego, CA 92117-5404 | 2012-04-24 |
| 1477821882 | Jay Akef, Dds Dental Corporation | Dentist | 3737 Moraga Ave, B-212, San Diego, CA 92117-5404 | 2011-12-13 |
| 1679873186 | Edmund W. Jay, D.d.s.,inc. | Clinic/Center | 3737 Moraga Ave, B-300, San Diego, CA 92117-5404 | 2010-10-31 |
| 1336479674 | Richard M Stein | Chiropractor | 3737 Moraga Ave, Bldg. A, Suite 207, San Diego, CA 92117-5404 | 2010-01-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1568956050 | Lourdes C Villagran | Case Manager/Care Coordinator | 4474 Charger Blvd, San Diego, CA 92117 | 2018-06-18 |
| 1750893509 | Dzendzel Family Chiropractic | Chiropractor | 3650 Clairemont Drive, Ste 2, San Diego, CA 92117 | 2017-11-02 |
| 1205355401 | Alan Ford | Counselor | 4150 Ute Dr., San Diego, CA 92117 | 2017-09-19 |
| 1780101238 | Allison Dawn Heeney | Occupational Therapist | 3386 Hopi Place, San Diego, CA 92117 | 2017-08-25 |
| 1275074379 | Rachel Gabrielle Packer | Counselor | 5252 Balboa Ave Ste 801, San Diego, CA 92117 | 2017-03-09 |
| 1316482995 | Lisa Graff-marsh, Inc. | Social Worker | 4985 Park Rim Dr., San Diego, CA 92117 | 2017-01-05 |
| 1417408949 | Markos and Markos 1 Inc | Private Vehicle | 4495 Clairemont Mesa Blvd, San Diego, CA 92117 | 2016-10-19 |
| 1801341813 | Huynh and Habashi Dental Corporation | Dentist | 2995 Clairemont Dr, Suite A, San Diego, CA 92117 | 2016-08-19 |
| 1184076077 | Tammy Monck | Optometrist | 3952 Clairemont Mesa Blvd Ste I, San Diego, CA 92117 | 2016-07-05 |
| Find all providers in zip 92117 | ||||
| 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 |
|---|---|---|---|---|
| 1265048409 | Sara Siraj | Dentist | 7720 Tyrolean Rd, San Diego, CA 92126-1029 | 2020-09-22 |
| 1639785306 | Brittany Jordan Noris | Dentist | 5830 Oberlin Dr Ste 201, San Diego, CA 92121-3754 | 2020-09-18 |
| 1437761475 | Pouya Parsa | Dentist | 12275 Carmel Vista Rd Unit 224, San Diego, CA 92130-2536 | 2020-08-20 |
| 1366060808 | Azadeh Khajavi | Dentist | 16516 Bernardo Center Dr Ste 210, San Diego, CA 92128-2551 | 2020-07-10 |
| 1871127456 | Sandhya Ramanujam | Dentist | 16466 Bernardo Center Dr Ste 185, San Diego, CA 92128-2522 | 2020-02-23 |
| 1396396164 | Khanh Nguyen | Dentist | 8605 Andromeda Rd, San Diego, CA 92126-1803 | 2019-09-24 |
| 1770133977 | Jeffrey Leland Elmer | Dentist | 2310 Craven St Unit 3210, San Diego, CA 92136-5596 | 2019-09-19 |
| 1609429273 | Navya Jampala | Dentist | 10891 Creekbridge Pl, San Diego, CA 92128-5108 | 2019-07-22 |
| 1619529229 | Calli Ann Marando | Dentist | 2310 Craven St # 3230, San Diego, CA 92136-5596 | 2019-07-13 |
| 1669024428 | Bolivia Pereira Hurtado | Dentist | 2303 92136, 2309 Doyle St, San Diego, CA 92136-0001 | 2019-07-11 |
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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.