SAN DIEGO DENTAL HEALTH CENTER LLC (NPI# 1386289478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386289478 |
Entity Type | Organization |
Organization Name | SAN DIEGO DENTAL HEALTH CENTER LLC |
Practice Address |
9350 Campus Point Dr La Jolla CA 92037-1300 |
Practice Telephone | 3103076623 |
Enumeration Date | 2019-11-12 |
Last Update Date | 2019-11-12 |
Authorized Official Name | KATYA ARCHAMBAULT (OWNER) |
Authorized Official Telephone | 3103076623 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
Ambulatory Health Care Facilities |
Street Address |
9350 CAMPUS POINT DR |
City | LA JOLLA |
State | CA |
Zip Code | 92037-1300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043295363 | Neil J. Farber | Internal Medicine | 9350 Campus Point Dr, La Jolla, CA 92037-1300 | 2005-12-09 |
1740708478 | Cassidy Michael Trimm | Physical Therapist | 9350 Campus Point Dr, La Jolla, CA 92037-1300 | 2017-09-01 |
1649727462 | Ann Valentine | Physical Therapist | 9350 Campus Point Dr, Mailcode # 7775, La Jolla, CA 92037-1300 | 2016-09-09 |
1205287687 | Catherine Burgess | Specialist | 9350 Campus Point Dr, Ll-d, La Jolla, CA 92037-1300 | 2016-06-27 |
1306219472 | Kelley Becherer | Physical Therapist | 9350 Campus Point Dr, La Jolla, CA 92037-1300 | 2015-11-11 |
1548636343 | Phillip Daniel Cohen-lyons | Internal Medicine | 9350 Campus Point Dr, Perlman Medical Offices, La Jolla, CA 92037-1300 | 2015-08-15 |
1699158022 | Jason Hooper | Physical Therapist | 9350 Campus Point Dr, La Jolla, CA 92037-1300 | 2015-07-02 |
1053745059 | Kenneth Nicholas Halter II | Physician Assistant | 9350 Campus Point Dr, La Jolla, CA 92037-1300 | 2013-08-26 |
1689917569 | Meghan Kathleen Spriggs | Audiologist | 9350 Campus Point Dr, Ste Ll-a, La Jolla, CA 92037-1300 | 2013-03-29 |
1962769075 | Michelle Andaya Obispo | Physical Therapist | 9350 Campus Point Dr, Ll-d, La Jolla, CA 92037-1300 | 2012-04-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
Find all providers in zip 92037 |
Taxonomy Code | 261QS0112X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
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 |
---|---|---|---|---|
1255931408 | Joseph A. Geleris | Clinic/Center | 132 N Vermont Ave, Glendora, CA 91741-5315 | 2020-10-27 |
1619524428 | Eliza Berris Dds, Inc. | Clinic/Center | 19851 Yorba Linda Blvd Ste 201-202, Yorba Linda, CA 92886-2864 | 2019-08-26 |
1497309306 | Acevedo Dental Corp | Clinic/Center | 1857 E 4th St, Ontario, CA 91764-2601 | 2019-07-29 |
1457911992 | Salina Mahgerefteh Dds Inc | Clinic/Center | 853 Warner Ave, Los Angeles, CA 90024-3327 | 2019-06-17 |
1588121248 | Trinh Thi Bui D.d.s.a Dental Corporation | Clinic/Center | 18510 Gridley Rd, Artesia, CA 90701 | 2019-02-28 |
1073082079 | Ucsf Dental Oncology | Clinic/Center | 513 Parnassus Avenue, Room S741, San Francisco, CA 94143-2205 | 2018-11-19 |
1033696406 | Daniel E Niemann Dds Dental Corporation | Clinic/Center | 2050 Huntington Dr Ste B, South Pasadena, CA 91030-4900 | 2018-07-27 |
1104318013 | Louis Gallia Md Medical Corp | Clinic/Center | 87 Scripps Dr #112, Sacramento, CA 95825 | 2018-06-06 |
1134624638 | Diem Cao Dds Inc | Clinic/Center | 8813 Alondra Blvd, Paramount, CA 90723-4603 | 2018-03-27 |
1013305689 | Mason Y. Lee, Dds, A Professional Corp | Clinic/Center | 750 Las Gallinas Ave Ste 207, San Rafael, CA 94903-3432 | 2015-01-05 |
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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.