DR. ROBERT DAVID RIDEAU (NPI# 1619027273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619027273 |
| Entity Type | Individual |
| Full Name | DR. ROBERT DAVID RIDEAU |
| Credential | DDS |
| Practice Address |
66 Bovet Rd Suite 105 San Mateo CA 94402-3125 |
| Practice Telephone | 6506278191 |
| Practice Fax Number | 6506278192 |
| Mailing Telephone | 6506278191 |
| Mailing Fax Number | 6506278192 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
32170 | CA | Dental Providers |
| Street Address |
66 BOVET RD SUITE 105 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94402-3125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598848632 | San Mateo Surgery Center | Clinic/Center | 66 Bovet Rd, Suite 101-103, San Mateo, CA 94402-3125 | 2006-10-23 |
| 1881036606 | Three Angels Anesthesia Nursing Services Inc. | Registered Nurse | 66 Bovet Rd, San Mateo, CA 94402-3125 | 2013-07-22 |
| 1407129851 | Bay Area Reproductive Healthcare PC | Specialist | 66 Bovet Rd, Suite 101, San Mateo, CA 94402-3125 | 2012-02-15 |
| 1750553376 | San Mateo Surgery Center LLC | Clinic/Center | 66 Bovet Rd, Suite 103, San Mateo, CA 94402-3125 | 2008-03-25 |
| 1124230073 | Joel B. Beck, M.d., Inc. | Surgery | 66 Bovet Rd, Ste 101, San Mateo, CA 94402 | 2007-05-04 |
| 1992822522 | Robert Brink | Medical Genetics, Ph.D. Medical Genetics | 66 Bovet Rd, Sutie 103, San Mateo, CA 94402-3125 | 2007-03-26 |
| 1366569584 | Joel B. Beck | Specialist | 66 Bovet Rd, Suite 101, San Mateo, CA 94402-3125 | 2007-03-23 |
| 1215073572 | Joanne Frances Jacobson | Anesthesiology | 66 Bovet Rd, Ste 103, San Mateo, CA 94402-3125 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
| 1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
| 1629512348 | Travis Woodmansee | Marriage & Family Therapist | 419 S El Dorado St, San Mateo, CA 94402 | 2016-12-14 |
| 1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
| 1457712572 | New Life Acupuncture Clinic | Acupuncturist | 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 | 2016-03-17 |
| 1871951434 | Nanami Oba | Physical Therapy Assistant | 20 Bennigton Dr., San Mateo, CA 94402 | 2016-02-10 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
| Find all providers in zip 94402 | ||||
| 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 |
|---|---|---|---|---|
| 1316553431 | Eveline Junaedy-tong | Dentist | 1367 Bel Aire Rd, San Mateo, CA 94402-3616 | 2020-09-23 |
| 1720602444 | Annabel S. Koa, Dmd Inc | Dentist | 400 N San Mateo Dr Ste 2, San Mateo, CA 94401-2418 | 2020-05-29 |
| 1639644859 | Brian Lee | Dentist | 1100 Park Pl Ste 30, San Mateo, CA 94403-7106 | 2018-10-04 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1205215795 | Sonrisas Dental Health, Inc. | Dentist | 430 No. El Camino Real, San Mateo, CA 94401-3710 | 2015-05-29 |
| 1023427606 | Katarina Tu | Dentist | 730 Mariners Island Blvd, Apt 37, San Mateo, CA 94404-1553 | 2014-08-07 |
| 1700211000 | Travis David Wu | Dentist | 33 Weepingridge Ct, San Mateo, CA 94402-3731 | 2013-09-05 |
| 1497099253 | Sahar Aurangzeb | Dentist | 19 W 39th Ave, San Mateo, CA 94403-4593 | 2012-11-19 |
| 1326318197 | Theresa Nina Scopazzi | Dentist | 36 N San Mateo Dr Ste C, San Mateo, CA 94401-4523 | 2012-01-10 |
| Find all providers in SAN MATEO | ||||
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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.