SAN DIEGO CENTER FOR ORAL AND MAXILLOFACIAL SURGERY (NPI# 1376803254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376803254 |
Entity Type | Organization |
Organization Name | SAN DIEGO CENTER FOR ORAL AND MAXILLOFACIAL SURGERY |
Practice Address |
8008 Frost St Suite 311 San Diego CA 92123-4205 |
Practice Telephone | 8582925175 |
Practice Fax Number | 8582929946 |
Mailing Telephone | 8582925175 |
Mailing Fax Number | 8582929946 |
Enumeration Date | 2012-05-24 |
Last Update Date | 2012-05-24 |
Authorized Official Name | MS. LYNN JANE O'KEEFE (ADMINISTRATOR) |
Authorized Official Telephone | 8582925175 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
Street Address |
8008 FROST ST SUITE 311 |
City | SAN DIEGO |
State | CA |
Zip Code | 92123-4205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659378990 | Julie Renee Ohayon | Surgery | 8008 Frost St, Ste 403, San Diego, CA 92123-4205 | 2005-07-01 |
1528444171 | Lindsey Urband Md Corp | Orthopaedic Surgery | 8008 Frost St, Suite 403, San Diego, CA 92123-4205 | 2015-08-05 |
1710238811 | Ann Billones | Physician Assistant | 8008 Frost St, Suite 106, San Diego, CA 92123-4205 | 2012-09-28 |
1508169335 | Christine Michelle Szafranic | Physician Assistant | 8008 Frost St, Suite 106, San Diego, CA 92123-4205 | 2010-12-16 |
1316247281 | Sharp Rees-stealy Medical Group Inc | Orthopaedic Surgery | 8008 Frost St, Suite 106, San Diego, CA 92123 | 2010-10-26 |
1740422997 | Lindsey Starr Urband | Orthopaedic Surgery | 8008 Frost St, Suite 403, San Diego, CA 92123-4205 | 2009-04-02 |
1063658375 | M. Hertzel Soumekh M D A Professional Corporation | Neurological Surgery | 8008 Frost St, Suite 401, San Diego, CA 92123-4205 | 2008-12-17 |
1023273307 | Jesus H. Mendoza | Orthotist | 8008 Frost St, Suite 407, San Diego, CA 92123-4205 | 2008-07-25 |
1407036502 | Tarkan Sidal | Dentist | 8008 Frost St, Suite 311, San Diego, CA 92123-4205 | 2007-11-07 |
1306042668 | San Diego Institute for Prevention and Wellness | Obstetrics & Gynecology | 8008 Frost St, Suite 406, San Diego, CA 92123-4205 | 2007-06-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
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Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
1346506201 | Jonathan Joseph Shelton | Dentist | 6386 Alvarado Ct Ste 110, San Diego, CA 92120 | 2012-04-04 |
1326350851 | Payam Afzali | Dentist | 11962 Stoney Peak Dr Apt 1222, San Diego, CA 92128-6483 | 2010-07-13 |
1487965828 | Mehdi B Matin | Dentist | 4910 Directors Pl Ste 300, San Diego, CA 92121-3816 | 2010-06-30 |
1801125794 | Robert Henry Miner | Dentist | 12686 Picrus St, San Diego, CA 92129-4121 | 2009-12-24 |
1629205174 | Marc Dentico-olin | Dentist | 501 Washington St Ste 710, San Diego, CA 92103-2231 | 2009-06-11 |
1225272339 | Ruben Dario Ramirez | Dentist | 8008 Frost Street, Suite 311, San Diego, CA 92123 | 2009-04-21 |
1932352796 | Daniel S Witcher | Dentist | 4747 Orten St, San Diego, CA 92110-1322 | 2008-10-24 |
1669592853 | Raymichael Smith | Dentist | 16466 Bernardo Center Dr Ste 177, San Diego, CA 92128-2522 | 2007-03-30 |
1104962190 | Arshiya Sharafi | Dentist | 4910 Directors Pl, 301, San Diego, CA 92121-3811 | 2007-01-29 |
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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.