IVANA RACIC (NPI# 1558987487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558987487 |
| Entity Type | Individual |
| Full Name | IVANA RACIC |
| Credential | DDS |
| Practice Address |
35 Main St Ste C130 Vista CA 92083-5858 |
| Mailing Address |
5170 1/2 Via Valarta San Diego CA 92124-1564 |
| Practice Telephone | 7607904267 |
| Mailing Telephone | 8434896692 |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
104932 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11835 Carmel Mountain Rd Ste 1306, San Diego, CA 921284609 | 8582950186 |
| Street Address |
35 MAIN ST STE C130 |
| City | VISTA |
| State | CA |
| Zip Code | 92083-5858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114496882 | Claire Louise Marsden | Speech-Language Pathologist | 1626 Fawley Lane, Vista, CA 92083 | 2018-11-24 |
| 1861975336 | Shawna Corn | Counselor | 216 W. Los Angeles Dr., Vista, CA 92083 | 2018-09-11 |
| 1164916433 | Sindia Zamarripa | Case Manager/Care Coordinator | 139 East Dr, Vista, CA 92083 | 2018-06-19 |
| 1184140295 | Rosa Gema Pamatz | Counselor | 216 West Los Angeles Dr, Vista, CA 92083 | 2017-08-21 |
| 1528452521 | Vincetta Cox | Nursing Care | 770 Sycamore Avenue, 122-178, Vista, CA 92083 | 2015-03-27 |
| 1922367739 | Oriental Medical Arts & Acupuncture | Acupuncturist | 544 W Vista Way, Vista, CA 92083 | 2012-05-14 |
| 1861623001 | Dawn Lindshield | Counselor | 550 W Vista Way Ste 408, Vista, CA 92083 | 2009-08-06 |
| 1932336534 | Amyjane Dill | Student in an Organized Health Care Education/Training Program | 216 W Los Angeles Drive, New Haven Youth Family Services, Vista, CA 92083 | 2009-06-22 |
| 1821239054 | Marisela Wong | Pharmacist | 1510 N. Santa Fe Avenue, Vista, CA 92083 | 2009-03-18 |
| 1235389602 | Erik Sven Peterson | Counselor | 155 W. Bobier, Vista, CA 92083 | 2008-09-23 |
| Find all providers in zip 92083 | ||||
| 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 |
|---|---|---|---|---|
| 1437618154 | Tri-city Dental Excellence | Dentist | 326 S Melrose Dr Ste 101, Vista, CA 92081-6618 | 2019-03-13 |
| 1205215613 | Sycamore Dental Associates | Dentist | 906 Sycamore Ave Ste 200, Vista, CA 92081-7851 | 2015-05-19 |
| 1700169323 | Melrose Square Dental Office | Dentist | 1680 S Melrose Dr Ste 108, Vista, CA 92081-5472 | 2011-09-20 |
| 1548587363 | Scott Eugene Krause | Dentist | 1001 E Vista Way, Suite 2, Vista, CA 92084-4603 | 2010-05-03 |
| 1316274749 | Mahtab Saadatmandi | Dentist | 2311 S. Melrose Dr., Vista, CA 92081 | 2009-11-05 |
| 1568629640 | Brenda Y Arao | Dentist | 1970 E Vista Way, Suite 202, Vista, CA 92084-3301 | 2008-05-17 |
| 1376715045 | Steve Michael Nave | Dentist | 933 A Vale Terrace Drive, Vista, CA 92084 | 2008-04-02 |
| 1235317041 | Derek L. Martin | Dentist | 1833 Goldenrod Ln, Vista, CA 92081-5342 | 2008-02-04 |
| 1659555076 | David Max Fellars | Dentist | 1000 E Vista Way, Vista, CA 92084-4602 | 2007-12-20 |
| 1508053323 | George R Braithwaite | Dentist | 630 Alta Vista Dr, #108, Vista, CA 92084-5504 | 2007-09-25 |
| Find all providers in VISTA | ||||
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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.