OTTO R. ALONZO, D.D.S., INC. (NPI# 1639443575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639443575 |
| Entity Type | Organization |
| Organization Name | OTTO R. ALONZO, D.D.S., INC. |
| Practice Address |
145 Shaw Ave Suite B2 Clovis CA 93612-3841 |
| Practice Telephone | 5593252175 |
| Practice Fax Number | 5593252227 |
| Mailing Telephone | 5593252175 |
| Mailing Fax Number | 5593252227 |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |
| Authorized Official Name | DR. OTTO RAUL ALONZO (PRESIDENT) |
| Authorized Official Telephone | 5597761829 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
50719 | CA | Ambulatory Health Care Facilities |
| Street Address |
145 SHAW AVE SUITE B2 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93612-3841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376641118 | Kevin Charles Hughes | Physical Therapist | 145 Shaw Ave, Suite A, Clovis, CA 93612-3841 | 2006-09-20 |
| 1861737629 | Theodore Mello | Physical Therapist | 145 Shaw Ave, Suite A, Clovis, CA 93612-3841 | 2012-12-05 |
| 1164636270 | Otto Raul Alonzo Dominguez | Dentist | 145 Shaw Ave, Suite B1-b2, Clovis, CA 93612-3841 | 2007-05-09 |
| 1245338094 | Kevin Andrew Brogan | Physical Therapist | 145 Shaw Ave, Suite A, Clovis, CA 93612-3841 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235778002 | Prieto Dental Corporation | Dentist | 2320 Clovis Avenue, Suite 102, Clovis, CA 93612 | 2019-12-27 |
| 1285190827 | Natividad Casillas | Behavior Technician | 20 N Dewitt, Clovis, CA 93612 | 2019-02-19 |
| 1922578988 | Benjamin Harold Davis Jr. | Behavior Technician | Swans Consulting, 20 N Dewitt Ave, Clovis, CA 93612 | 2018-12-03 |
| 1134620651 | Innovative Development & Living Solutions of California | Assisted Living Facility | 32 West Sierra Ave, Clovis, CA 93612 | 2018-02-21 |
| 1427578616 | Mariamajane Sengsiri | Licensed Vocational Nurse | 1244 Estabrook Ave., Clovis, CA 93612 | 2017-06-20 |
| 1417482464 | Tiffanie Guy | Pharmacist | 2810 Willow Ave Apt 206, Clovis, CA 93612 | 2017-04-27 |
| 1194271833 | Daniel Salinas | Specialist/Technologist | 1712 Harvard Ave., Clovis, CA 93612 | 2016-09-01 |
| 1386071447 | Darra Hirsh | Psychologist | 334 Shaw Ave Ste 100, Clovis, CA 93612 | 2013-10-03 |
| 1437400793 | Bashful Elephant | Counselor | 3097 Willow Suite 4, Clovis, CA 93612 | 2012-09-27 |
| 1588930432 | Nghiem Gia Vu | Pharmacist | 695 W Herdn Ave, Clovis, CA 93612 | 2012-03-26 |
| Find all providers in zip 93612 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750804266 | Signature Smiles Practice of Owji | Clinic/Center | 255 W Bullard Ave Ste 106, Clovis, CA 93612-0861 | 2017-07-18 |
| 1336682459 | Sekhon and Cheema Dental Corporation | Clinic/Center | 1057 N Willow Ave Ste 117, Clovis, CA 93611-4414 | 2016-11-21 |
| 1336505916 | Clovis Family Dentistry, LLC | Clinic/Center | 2000 W 21st St Ste L1, Clovis, NM 88101-1400 | 2016-01-12 |
| 1720686892 | Bayrakdarian Clovis I, D.m.d., Inc., A Professional Dental Corporation | Clinic/Center | 451 Clovis Ave Ste 105, Clovis, CA 93612-1197 | 2020-10-12 |
| 1922583004 | Golden Valley Smiles | Clinic/Center | 1010 Shaw Ave, Clovis, CA 93612-3950 | 2018-09-25 |
| 1093261455 | Eastern New Mexico Endodontics, PC | Clinic/Center | 2000 W 21st St, Suite L1, Clovis, NM 88101-4087 | 2016-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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.