IVONNE VAZQUEZ DDS INC (NPI# 1548639768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548639768 |
Entity Type | Organization |
Organization Name | IVONNE VAZQUEZ DDS INC |
Other Organization Name | OVERLAND DENTAL PRACTICE |
Practice Address |
41653 Margarita Rd Ste 107 Temecula CA 92591-3000 |
Practice Telephone | 9516958711 |
Mailing Telephone | 9516958711 |
Enumeration Date | 2015-09-17 |
Last Update Date | 2015-09-17 |
Authorized Official Name | DR. IVONNE VAZQUEZ (DENTIST) |
Authorized Official Telephone | 9516958711 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
50392 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | NPI INDIVIDUAL | 161-908-6733 | 01 |
Other Name | Type Code |
---|---|
Overland Dental Practice | Doing Business As Name - Organization |
Street Address |
41653 MARGARITA RD STE 107 |
City | TEMECULA |
State | CA |
Zip Code | 92591-3000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619086733 | Ivonne Vazquez | Dentist | 41653 Margarita Rd Ste 107, Temecula, CA 92591-3000 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255978961 | Kendall Leeanne Mattix | Behavior Technician | 26720 Ynez Court, Temecula, CA 92591 | 2019-12-02 |
1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
1356830426 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 40780 Winchester Rd, Temecula, CA 92591 | 2018-05-04 |
1780196428 | Shirley K Wade | Case Manager/Care Coordinator | 40925 County Circle Drive, Temecula, CA 92591 | 2017-11-03 |
1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
1386166395 | Jonathan James Creech | Optometrist | 41257 Magarita Road, Suite B 103, Temecula, CA 92591 | 2017-07-11 |
1730600743 | Rachel Michele Brannigan | Specialist/Technologist | 39522 Seraphina Rd, Temecula, CA 92591 | 2017-06-29 |
1457890303 | Kala Chrisilis Earley | Specialist/Technologist | 29004 Bridgehampton Rd, Temecula, CA 92591 | 2017-02-13 |
1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
Find all providers in zip 92591 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477029502 | Tibbitts Temecula Dental Group | Clinic/Center | 32909 Temecula Parkway Ste 102, Temecula, CA 92592 | 2018-10-16 |
1124685326 | Tin Maung Maung Dds | Clinic/Center | 42210 Lyndie Ln Ste B, Temecula, CA 92591-3604 | 2019-05-22 |
1982164265 | Smiles To You, Inc | Clinic/Center | 40330 Camino Campos Verde, Temecula, CA 92591-6170 | 2019-03-22 |
1306212246 | Peter Bishay Dds Inc | Clinic/Center | 28999 Old Town Front St, 208, Temecula, CA 92590-5805 | 2015-08-14 |
1780809913 | Charles J. Stewart D.d.s.,inc | Clinic/Center | 29645 Rancho California Rd, Ste#241, Temecula, CA 92591-6200 | 2007-04-14 |
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1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
Find all providers with the same taxonomy |
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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.