DR. MARKOS N BOTROS (NPI# 1568795185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568795185 |
| Entity Type | Individual |
| Full Name | DR. MARKOS N BOTROS |
| Credential | D.D.S. |
| Practice Address |
12395 El Camino Real Suite 101 San Diego CA 92130-3082 |
| Mailing Address |
8 Shallow Brook Rd Morganville NJ 07751-4649 |
| Practice Telephone | 8583500337 |
| Mailing Telephone | 7327188200 |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
58776 | CA | Dental Providers |
| Street Address |
12395 EL CAMINO REAL SUITE 101 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-3082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457337313 | Scripps Clinic Medical Group | Clinic/Center | 12395 El Camino Real, Suite 120, San Diego, CA 92130-3082 | 2005-12-21 |
| 1003299892 | Roya Mirkhan,dmd,msd,inc. | Dentist | 12395 El Camino Real, Suite Number 314, San Diego, CA 92130-3082 | 2015-06-30 |
| 1033544408 | Sea Breeze Pediatrics, Apc | Clinic/Center | 12395 El Camino Real, Suite 311, San Diego, CA 92130-3082 | 2013-09-04 |
| 1184922197 | Karen Freeman | Dietitian, Registered | 12395 El Camino Real, Suite 115, San Diego, CA 92130 | 2011-03-01 |
| 1487974101 | San Diego Eye Group, Inc. | Ophthalmology | 12395 El Camino Real, Suite 300, San Diego, CA 92130-3085 | 2010-06-03 |
| 1467778456 | Julia Ann Shrivastava | Family Medicine | 12395 El Camino Real, Suite 120, San Diego, CA 92130-3082 | 2010-04-15 |
| 1417190448 | Jason R. Lupton, M.d., Inc. | Dermatology | 12395 El Camino Real, Suite 207, San Diego, CA 92130-3082 | 2009-04-07 |
| 1649439563 | Christen Marie Benke | Family Medicine | 12395 El Camino Real, Suite 120, San Diego, CA 92130-3083 | 2008-06-05 |
| 1689860108 | Carmel Valley Pediatrics | Pediatrics | 12395 El Camino Real, Suite 315, San Diego, CA 92130-3082 | 2007-09-18 |
| 1871799213 | John Graves Dawkins | Family Medicine | 12395 El Camino Real, #120, San Diego, CA 92130-3082 | 2007-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
| 1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| 1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 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 |
| Find all providers in zip 92130 | ||||
| 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 |
|---|---|---|---|---|
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1831797489 | Lily Neskin | Dentist | 4454 Shorepointe Way, San Diego, CA 92130-8635 | 2020-10-15 |
| 1487251294 | Zeki Abdulaali | Dentist | 1501 India St Unit 607, San Diego, CA 92101-2449 | 2020-10-05 |
| 1629681895 | Elizabeth Rodriguez | Dentist | 14701 Via Bettona Ste 215, San Diego, CA 92127-4808 | 2020-08-27 |
| 1679183602 | Hayat Fahliogullari-smith | Dentist | 1281 9th Ave Unit 1309, San Diego, CA 92101-4655 | 2020-08-04 |
| 1235768631 | Virgnia Padua Mattson D.m.d. | Dentist | 11717 Bernardo Plaza Ct Ste 100, San Diego, CA 92128-2419 | 2020-04-07 |
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1215568043 | Hage Dental Corporation | Dentist | 3365 Rosecrans St Ste C, San Diego, CA 92110-4256 | 2020-01-30 |
| 1275174310 | Yige Zhao Dental Corporation | Dentist | 9840 Carmel Mountain Rd, San Diego, CA 92129-2812 | 2019-09-30 |
| 1083255111 | Wayne David Gonzales | Dentist | 8031 Linda Vista Rd # 210, San Diego, CA 92111-5110 | 2019-09-30 |
| Find all providers in SAN DIEGO | ||||
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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.