MICHAEL G. MCMAHON PROFESSIONAL DENTAL CORPORATION (NPI# 1538686126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538686126 |
Entity Type | Organization |
Organization Name | MICHAEL G. MCMAHON PROFESSIONAL DENTAL CORPORATION |
Practice Address |
3405 Kenyon St Ste 510 San Diego CA 92110-5008 |
Practice Telephone | (619) 233-7189 |
Mailing Telephone | 6192337189 |
Enumeration Date | 2017-08-24 |
Last Update Date | 2017-08-24 |
Authorized Official Name | MICHAEL GERALD MCMAHON (DENTIST/OWNER) |
Authorized Official Telephone | 6192237189 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
34383 | CA | Ambulatory Health Care Facilities |
Street Address |
3405 KENYON ST STE 510 |
City | SAN DIEGO |
State | CA |
Zip Code | 92110-5008 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538285226 | Michael Gerald Mc Mahon | Dentist | 3405 Kenyon St Ste 510, San Diego, CA 92110-5008 | 2007-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
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Taxonomy Code | 261QC1800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Corporate Health |
Definition to come... |
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1588075683 | Cruz Cardenas | Clinic/Center | 3145 Boundary St, San Diego, CA 92104-4702 | 2014-05-13 |
1922578897 | Inide Point Acupuncture, Inc | Clinic/Center | 4747 Mission Blvd Ste 7, San Diego, CA 92109-2541 | 2018-12-04 |
1326170671 | Sharp Healthcare | Clinic/Center | 8695 Spectrum Center Blvd, San Diego, CA 92123-1489 | 2007-03-12 |
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1316446826 | Central Neighborhood Health Foundation | Clinic/Center | 7576 Sterling Ave Ste A, San Bernardino, CA 92410-4202 | 2018-02-09 |
1740793744 | Prime Wellness Center | Clinic/Center | 1950 E Chapman Ave Ste 2, Fullerton, CA 92831-4141 | 2017-11-13 |
1164947883 | Xsitehealth | Clinic/Center | 2655 Seely Ave, San Jose, CA 95134-1931 | 2017-08-03 |
1801288758 | Joseph Kim Chiropractic & Acupuncture Clinic Inc. | Clinic/Center | 4128 W Commonwealth Ave Ste 101, Fullerton, CA 92833-2565 | 2015-03-02 |
1720323439 | Williams Chiropractic Clinic, Inc | Clinic/Center | 2660 Hwy 140 Ste D, Catheys Valley, CA 95306-0127 | 2012-12-06 |
1174876726 | Howard Jaffe | Clinic/Center | 22 Eugene St, Mill Valley, CA 94941-1718 | 2012-10-19 |
1073744710 | Altamed Health Services Corporation | Clinic/Center | 2040 Camfield Avenue, Los Angeles, CA 90040-1501 | 2009-07-29 |
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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.