DR. LORETO R SICAM JR. (NPI# 1336143189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336143189 |
| Entity Type | Individual |
| Full Name | DR. LORETO R SICAM JR. |
| Credential | DMD |
| Practice Address |
699 Lewelling Blvd Ste 300 San Leandro CA 94579 |
| Mailing Address |
1290 Via Di Salerno Pleasanton CA 94566 |
| Practice Telephone | 5103578960 |
| Practice Fax Number | 5103578905 |
| Mailing Telephone | 9256007389 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 39709 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTAL LICENSE | 39709 | 01 |
| Street Address |
699 LEWELLING BLVD STE 300 |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013492693 | Jing Meng | Pharmacist | 699 Lewelling Blvd, San Leandro, CA 94579-1870 | 2018-09-28 |
| 1447613401 | Tammy Ngan | Pharmacist | 699 Lewelling Blvd, San Leandro, CA 94579-1870 | 2016-03-29 |
| 1366803520 | Cindy Bunneat | Pharmacist | 699 Lewelling Blvd, San Leandro, CA 94579-1870 | 2016-03-16 |
| 1689035792 | Ted Chin | Pharmacist | 699 Lewelling Blvd, San Leandro, CA 94579-1870 | 2016-03-16 |
| 1336512227 | Ngoc My La | Pharmacist | 699 Lewelling Blvd, San Leandro, CA 94579-1870 | 2015-11-02 |
| 1366643314 | Brian Hung Han Dmd Inc | Dentist | 699 Lewelling Blvd, Suite 286, San Leandro, CA 94579-1870 | 2007-05-29 |
| 1831309491 | Alice Tangi Blancaflor | Dentist | 699 Lewelling Blvd, Ste 300, San Leandro, CA 94579 | 2007-05-23 |
| 1033252150 | Loreto R Sicam Jr Dmd Inc | Dentist | 699 Lewelling Blvd, Ste 300, San Leandro, CA 94579-1870 | 2007-02-15 |
| 1225184237 | Amy M Nguyen | Dentist | 699 Lewelling Blvd, Suite 286, San Leandro, CA 94579-1870 | 2007-01-25 |
| 1639264484 | Brian Hung Han | Dentist | 699 Lewelling Blvd, Suite 286, San Leandro, CA 94579-1870 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326546227 | Thai-son Hoang Nguyen | Pharmacist | 15500 Washingston Ave, San Leandro, CA 94579 | 2018-01-25 |
| 1174079370 | Ngan Kim Tran | Dentist | 1513 Hickory Ave, San Leandro, CA 94579 | 2016-08-28 |
| 1801223581 | Sara Litpon-carey | Social Worker | 16335 East 14th Street, 2nd Floor, San Leandro, CA 94579 | 2013-09-26 |
| 1497224885 | Sonia Zuniga Morales | Behavior Technician | 14389 Elm St, San Leandro, CA 94579-1028 | 2018-11-15 |
| 1770992380 | Stars, Inc. | Community/Behavioral Health | 14790 Corvallis Street, Counseling Office, San Leandro, CA 94579-1174 | 2014-08-07 |
| 1497222707 | Stephanie Clare Bowar | Behavior Technician | 14690 Wiley St, San Leandro, CA 94579-1213 | 2018-10-25 |
| 1427231349 | San Leandro Unified School District | Local Education Agency (LEA) | 14735 Juniper St, San Leandro, CA 94579-1222 | 2007-12-13 |
| 1639657752 | Erika Apel | Counselor | 1324 Avon Ave, San Leandro, CA 94579-1340 | 2018-07-31 |
| 1750626016 | Melanie Tabernero | Occupational Therapist | 14860 Crosby St, San Leandro, CA 94579-1473 | 2012-11-27 |
| 1316336688 | Rachel Holland | Nurse's Aide | 14950 Zelma St Apt 12, San Leandro, CA 94579-1474 | 2015-01-09 |
| Find all providers in zip 94579 | ||||
| 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 |
|---|---|---|---|---|
| 1790396463 | Quyen Bach | Dentist | 2525 Merced St, San Leandro, CA 94577-4212 | 2020-08-14 |
| 1982168183 | Laguro, Inc. | Dentist | 201 Dolores Ave, San Leandro, CA 94577-5007 | 2019-01-22 |
| 1003313925 | C Chiu Dds Inc | Dentist | 2561 Merced St, San Leandro, CA 94577-4207 | 2018-04-08 |
| 1811406721 | Brendon Hoang Nguyen | Dentist | 145 E 14th St, San Leandro, CA 94577 | 2017-09-22 |
| 1659808624 | Kabiri Premier Dental Inc. | Dentist | 425 Estudillo Ave Ste B, San Leandro, CA 94577-4906 | 2017-05-22 |
| 1285161323 | Tin Dental Specialty Group A Professional Dental Corp | Dentist | 1436 Clarke St, San Leandro, CA 94577-3635 | 2017-05-19 |
| 1669810263 | Radhika Alampalli | Dentist | 14895 E 14th St Ste 100, San Leandro, CA 94578-2985 | 2013-06-06 |
| 1699924712 | John Barry Williamson | Dentist | 1450 Bancroft Ave., San Leandro, CA 94577 | 2008-09-12 |
| 1205009677 | Mona Moy | Dentist | 506 Estudillo Ave, San Leandro, CA 94577-4612 | 2008-04-08 |
| 1063682268 | Bich-ngoc Nguyen | Dentist | 345 Estudillo Ave Ste 201, San Leandro, CA 94577-4702 | 2008-03-04 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94579 |
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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.