DR. ANTONIO ANDREW ALFONSO JR. (NPI# 1346655677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346655677 |
| Entity Type | Individual |
| Full Name | DR. ANTONIO ANDREW ALFONSO JR. |
| Credential | D.M.D. |
| Practice Address |
732 Mott St # 100-110 San Fernando CA 91340-4237 |
| Practice Telephone | 8189635690 |
| Mailing Telephone | 8189635690 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2020-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 63500 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
63500 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 63500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760670 | Antonio E Alfonso | Surgery | 100 Amity St, Brooklyn, NY 11201-6005 | 2005-06-16 |
| Street Address |
732 MOTT ST # 100-110 |
| City | SAN FERNANDO |
| State | CA |
| Zip Code | 91340-4237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376982835 | Brenda Elena Sanchez | Social Worker | 732 Mott St # 100-110, San Fernando, CA 91340-4237 | 2013-06-18 |
| 1801200613 | Vishaal Buch | Family Medicine | 732 Mott St # 100-110, San Fernando, CA 91340-4237 | 2014-06-19 |
| 1033559398 | William L Chiueh | Dentist | 732 Mott St # 100-110, San Fernando, CA 91340-4237 | 2013-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844301 | Atalla Dental Corp. | Clinic/Center | 557 N. Maclay Ave., San Fernando, CA 91340 | 2020-02-26 |
| 1235623190 | Kohan & Rodef Dental Corporation | Dentist | 500 San Fernardo Mission Blvd Suite #2, San Fernardo, CA 91340 | 2018-06-14 |
| 1700388766 | North Valley Diagnostics Services, Inc. | Electrodiagnostic Medicine | 670 San Fernando Mission Blvd, #d, San Fernando, CA 91340 | 2018-03-06 |
| 1750889531 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 1204 San Fernando Rd, San Fernando, CA 91340 | 2018-01-26 |
| 1689118598 | Maira Yesenia Lopez | Counselor | 565 S. Brand Blvd, San Fernando, CA 91340 | 2016-12-12 |
| 1386042166 | Afsaneh Mazaheri-sichani | Dentist | 777 Turman St., Suite 107, San Fernando, CA 91340 | 2014-12-11 |
| 1396154167 | Lorena Tercero | Marriage & Family Therapist | 302 S. Brand Blvd, San Fernando, CA 91340 | 2014-08-06 |
| 1689082836 | Germine Aznavour | Pharmacist | 12920 Foothill Blvd, San Fernando, CA 91340 | 2014-07-31 |
| 1841605151 | Aswani Dental Corporation | Clinic/Center | 12940 Foothill Blvd Ste C, San Fernando, CA 91340 | 2014-06-25 |
| 1467705624 | Brenda Lira | Social Worker | 11565 Laurel Canyon Blvd., Suite 116, San Fernando, CA 91340 | 2012-10-24 |
| Find all providers in zip 91340 | ||||
| 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 |
|---|---|---|---|---|
| 1386042166 | Afsaneh Mazaheri-sichani | Dentist | 777 Turman St., Suite 107, San Fernando, CA 91340 | 2014-12-11 |
| 1417132838 | Allen Ronald Baker | Dentist | 1240 Truman St, Suite 200, San Fernando, CA 91340 | 2008-01-03 |
| 1326236290 | Alcira M Urrutia | Dentist | 1160 N Maclay Ave, Suite #107, San Fernando, CA 91340-5128 | 2007-10-04 |
| 1003008319 | Enrique Araujo Dds, A Dental Corporation | Dentist | 1024 N Maclay Ave Ste 3, San Fernando, CA 91340-1361 | 2007-08-10 |
| 1750580585 | Enrique A Araujo | Dentist | 1024 N Maclay Ave, #3, San Fernando, CA 91340 | 2007-07-12 |
| 1932317005 | Vikramkumar Hiralal Shah | Dentist | 907 Truman St, San Fernando, CA 91340-3316 | 2007-05-20 |
| 1730305111 | Larry V. Hamer, D.d.s. Prof Corp | Dentist | 800 San Fernando Rd, San Fernando, CA 91340-3374 | 2007-04-17 |
| 1891816807 | Ken N Habashy Ddsinc | Dentist | 1230 San Fernando Rd, Suite B, San Fernando, CA 91340-3238 | 2007-04-03 |
| 1790823698 | Heavenly Dental | Dentist | 321 N Maclay Ave, Suite A, San Fernando, CA 91340 | 2007-02-02 |
| 1669518015 | Ira Stephen Wiedman | Dentist | 444 So Brand Blvd, 104, San Fernando, CA 91340 | 2007-01-30 |
| Find all providers in SAN FERNANDO | ||||
| City | SAN FERNANDO |
| Zip Code | 91340 |
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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.