DR. KONGSAB LA HATLAVONGSA (NPI# 1366798530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366798530 |
| Entity Type | Individual |
| Full Name | DR. KONGSAB LA HATLAVONGSA |
| Credential | DDS |
| Practice Address |
121 Barboza St Mendota CA 93640-1901 |
| Mailing Address |
3035 N Mcarthur Ave Fresno CA 93727 |
| Practice Telephone | 5596555000 |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2014-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 61581 | CA | Dental Providers |
| Street Address |
121 BARBOZA ST |
| City | MENDOTA |
| State | CA |
| Zip Code | 93640-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184606634 | United Health Centers of The San Joaquin Valley | Clinic/Center | 121 Barboza St, Mendota, CA 93640-1901 | 2005-11-18 |
| 1497377048 | Brandon Wong | Physician Assistant | 121 Barboza St, Mendota, CA 93640-1901 | 2020-05-16 |
| 1326604364 | Karen Ashley Merriweather | Dentist | 121 Barboza St, Mendota, CA 93640-1901 | 2019-05-15 |
| 1184148744 | Joanna Fabris | Family Medicine | 121 Barboza St, Mendota, CA 93640-1901 | 2017-07-26 |
| 1376956235 | Mandeep Kaur | Family Medicine | 121 Barboza St, Mendota, CA 93640-1901 | 2014-06-09 |
| 1205255817 | Sonia Fabionar Relingo | Dentist | 121 Barboza St, Mendota, CA 93640-1901 | 2014-04-10 |
| 1609210830 | Raman Mattu | Internal Medicine | 121 Barboza St, Mendota, CA 93640-1901 | 2013-04-18 |
| 1134420144 | Shila Shafii Noori | Family Medicine | 121 Barboza St, Mendota, CA 93640-1901 | 2010-11-08 |
| 1588836688 | Kristen Marie Stockamp | Family Medicine | 121 Barboza St, Mendota, CA 93640-1901 | 2008-03-28 |
| 1093926180 | United Health Centers of The San Joaquin Valley | Clinic/Center | 121 Barboza St, Mendota, CA 93640-1901 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243782 | Turning Point of Central California, Inc. | Community/Behavioral Health | 121 Belmont Ave. Ste 300, Mendota, CA 93640 | 2020-07-30 |
| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1912465626 | Gayathri Parameswaran Iyer | Dentist | United Health Centers, 121 Barboza St, Mendota, CA 93640 | 2019-03-12 |
| 1801372594 | Fresno County Superintendent of Schools | Psychologist | 121 Belmont Avenue, Mendota, CA 93640 | 2018-07-16 |
| 1730488180 | Promesa Behavioral Health | Community/Behavioral Health | 1258 E. Belmont Avenue, Mendota, CA 93640 | 2011-03-24 |
| 1689809097 | Fresno County Behavioral Health | Clinic/Center | 121 Barbosa St., Mendota, CA 93640 | 2009-05-29 |
| 1760826754 | Mendota Unified School District | Local Education Agency (LEA) | 115 Mccabe Ave, Mendota, CA 93640-2000 | 2013-04-22 |
| 1659874584 | Nayeli Baez | Behavior Technician | 595 I St, Mendota, CA 93640-2121 | 2018-03-16 |
| 1386942316 | Promesa Behavioral Health | Community/Behavioral Health | 211 Smoot Ave, Mendota, CA 93640-2234 | 2011-02-28 |
| 1881780757 | Pharmkee, Inc. | Durable Medical Equipment & Medical Supplies | 497 Oller St, Mendota, CA 93640-2312 | 2006-10-05 |
| Find all providers in zip 93640 | ||||
| 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 |
|---|---|---|---|---|
| 1205960200 | Trang M Nguyen | Dentist | 33500 W California Ave, Mendota, CA 93640-9703 | 2007-03-14 |
| 1205255817 | Sonia Fabionar Relingo | Dentist | 121 Barboza St, Mendota, CA 93640-1901 | 2014-04-10 |
| 1528400371 | Ernesto A Villalobos, Dds, Ms, LLC | Dentist | 1318 Meriden St, Mendota, IL 61342-1030 | 2013-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447057 | Sienna Palmer Ogbevoen Dds, Inc. | Dentist | 27871 Medical Center Rd Ste 290, Mission Viejo, CA 92691-6440 | 2020-11-07 |
| 1821699737 | William Bill Ngo | Dentist | 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 | 2020-11-06 |
| 1134720022 | Iee Shin | Dentist | 30406 Haun Rd Ste 740, Menifee, CA 92584-6816 | 2020-11-05 |
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1467053660 | Gurjot Sidhu Dds Dental Corporation | Dentist | 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 | 2020-11-04 |
| 1821699133 | Ayesha Ahmad | Dentist | 4910 Chapparal Way, Banning, CA 92220-3353 | 2020-11-03 |
| 1407457856 | Yiyang Zou | Dentist | 333 W El Camino Real Ste 260, Sunnyvale, CA 94087-8127 | 2020-11-03 |
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1518568138 | Raime Shah | Dentist | 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 | 2020-11-02 |
| 1558961359 | Tony Tataro | Dentist | 5700 Village Oaks Dr Apt 1222, San Jose, CA 95123-3771 | 2020-10-29 |
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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.