GUADALUPE A. MEJIA DENTAL CORP. (NPI# 1366962334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366962334 |
| Entity Type | Organization |
| Organization Name | GUADALUPE A. MEJIA DENTAL CORP. |
| Other Organization Name | MILLENNIUM DENTAL |
| Practice Address |
700 W 19th St. Suite C Costa Mesa CA 92627 |
| Practice Telephone | 9497229027 |
| Mailing Telephone | 9497229027 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Authorized Official Name | GUADALUPE ANA MEJIA (PRESIDENT) |
| Authorized Official Telephone | 7145530751 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | GUADALUPE A. MEJIA DENTAL CORP. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DDS100192 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Millennium Dental | Doing Business As Name - Organization |
| Street Address |
700 W 19TH ST. SUITE C |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| 1861851040 | Natalie Waldman | Speech-Language Pathologist | 1929 Tustin Avenue, Costa Mesa, CA 92627 | 2016-02-17 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841705746 | Timothy Joseph Rolfes | Dentist | 1530 Baker St #j, Costa Mesa, CA 92626-3752 | 2017-12-13 |
| 1255880928 | Karen Pingyao Yeh | Dentist | 1545 Baker St, Costa Mesa, CA 92626-3731 | 2016-09-22 |
| 1548642846 | De Leon Dentistry General & Cosmestic | Dentist | 1942 Harbor Blvd., Costa Mesa, CA 92627 | 2015-06-23 |
| 1689068884 | M. Zakhary Dds, Inc. | Dentist | 488 E 17th St, 101a, Costa Mesa, CA 92627-3250 | 2015-03-25 |
| 1467716035 | Julianne Shaw | Dentist | 1831 Orange Ave Ste D, Costa Mesa, CA 92627-2839 | 2012-06-28 |
| 1487913471 | Matt G. Farzin Dds, Inc | Dentist | 2969 Harbor Blvd., Costa Mesa, CA 92626 | 2012-05-10 |
| 1558631234 | Sandra Y Rodriguez | Dentist | 2700 Peterson Pl, Unit 49b, Costa Mesa, CA 92626-5300 | 2012-01-11 |
| 1932485299 | Annie Van Anh Nguyen | Dentist | 3105 Monroe Way, Costa Mesa, CA 92626-2826 | 2011-10-31 |
| 1730463662 | Douglas W Lim | Dentist | 728 West 19th St., Suite B, Costa Mesa, CA 92627-6148 | 2011-10-11 |
| 1730492133 | Daniel No | Dentist | 2706 Harbor Blvd Ste C, Costa Mesa, CA 92626-5171 | 2010-07-15 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
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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.