DR. MUGDHA VINOD PATWARDHAN (NPI# 1619120722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619120722 |
| Entity Type | Individual |
| Full Name | DR. MUGDHA VINOD PATWARDHAN |
| Credential | DDS MD |
| Practice Address |
99 W Portal Ave San Francisco CA 94127 |
| Mailing Address |
99 W Portal Ave San Francisco CA 94127-1303 |
| Practice Telephone | 4156616006 |
| Practice Fax Number | 4156616115 |
| Mailing Telephone | 4156616006 |
| Mailing Fax Number | 4156616115 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
243178 | NY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 630 W 168th St, Vc-7, New York, NY 100323725 | 2123059767 |
| Street Address |
99 W PORTAL AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255487179 | Leonid A Tolstunov | Dentist | 99 W Portal Ave, San Francisco, CA 94127-1303 | 2007-01-25 |
| 1003254137 | Joseph Yang | Dentist | 99 W Portal Ave, San Francisco, CA 94127-1303 | 2013-06-11 |
| 1043346174 | Eric Michael Scharf | Dentist | 99 W Portal Ave, San Francisco, CA 94127-1303 | 2007-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205311834 | Timothy Tang | Dentist | 1450 Monterey Boulevard, San Francisco, CA 94127 | 2018-09-28 |
| 1851897458 | Jason Jihwan Lim | Dentist | 26 W Portal Ave Ste 4, San Francisco, CA 94127 | 2018-04-03 |
| 1871003152 | Jacob Lee | Technician, Other | 12 Keystone Way, San Francisco, CA 94127 | 2017-10-02 |
| 1972032514 | Brian Ong | Pharmacist | 701 Portola Drive, San Francisco, CA 94127 | 2017-06-07 |
| 1316357411 | Roger Stephen Ellis | Emergency Medicine | 301 Edgehill Way, San Francisco, CA 94127 | 2014-04-29 |
| 1801227145 | Terrence Lee | Dentist | 2335 Ocean Ave, San Francisco, CA 94127 | 2013-12-12 |
| 1801222021 | Hayley Rose Winn | Behavioral Analyst | 2265 Ocean Ave., San Francisco, CA 94127 | 2013-09-19 |
| 1487959771 | Leah C Wood | Counselor | 36a Monterey Blvd, San Francisco, CA 94127 | 2011-01-18 |
| 1720288871 | Gloria M. Gold | Social Worker | 146 Granville Way, San Francisco, CA 94127 | 2007-07-18 |
| 1174749451 | Linda L Lee | Dentist | 2411 Ocean Ave, Suite 203, San Francisco, CA 94127 | 2007-04-17 |
| Find all providers in zip 94127 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467825786 | Paul J Kim | Dentist | Ucsf Department of Surgery 513 Parnassus Ave, S321, San Francisco, CA 94143 | 2015-11-09 |
| 1851731566 | Mathew Ruggles | Dentist | 2844 California St, San Francisco, CA 94115 | 2013-06-26 |
| 1073871448 | Sampeter Liech Odera | Dentist | Ucsf Oral and Maxillofacial Surgery, 513 Parnassus S738, San Francisco, CA 94143-0001 | 2012-04-24 |
| 1922397645 | Chirag Madhusudan Patel | Dentist | 707 Parnassus Ave, Rm D1201, Ucsf Oral & Facial Surgery Center, San Francisco, CA 94143 | 2011-04-04 |
| 1932235470 | Dennis Song | Dentist | 3109 Geary Blvd, San Francisco, CA 94118-3316 | 2007-02-27 |
| 1386799872 | Michael Dumas | Dentist | 595 Buckingham Way Ste 208, San Francisco, CA 94132-1910 | 2007-01-24 |
| 1386726537 | Michael Edward Barkin | Dentist | 2100 Webster St Ste 325, San Francisco, CA 94115-2378 | 2006-10-19 |
| 1699857904 | William C. Chan | Dentist | 2001 Van Ness Ave Ste 401, San Francisco, CA 94109-3040 | 2006-10-19 |
| 1790884393 | Craig D Mcdow | Dentist | 450 Sutter St Rm 1130, San Francisco, CA 94108-3995 | 2006-09-21 |
| 1689693087 | Brian T. Bast | Dentist | 513 Parnassus Ave Rm S738, San Francisco, CA 94143-2205 | 2006-07-18 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94127 |
Please comment or provide details below to improve the information on DR. MUGDHA VINOD PATWARDHAN.
| 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.