YUDI TEDJAKUSNADI (NPI# 1649348970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649348970 |
| Entity Type | Individual |
| Full Name | YUDI TEDJAKUSNADI |
| Credential | DDS |
| Practice Address |
3560 Arlington Ave Riverside CA 92506-3936 |
| Mailing Address |
Po Box 3430 Fullerton CA 92834-3430 |
| Practice Telephone | 9096801200 |
| Mailing Telephone | 9096801200 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
41795 | CA | Dental Providers |
| Street Address |
3560 ARLINGTON AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506-3936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093915605 | Juana R Cavinder | Dentist | 3560 Arlington Ave, Riverside, CA 92506-3936 | 2007-07-21 |
| 1932307725 | Courtland K Duval | Dentist | 3560 Arlington Ave, Riverside, CA 92506-3936 | 2007-07-03 |
| 1184831190 | Consumerhealth, Inc. | Dentist | 3560 Arlington Ave, Riverside, CA 92506-3936 | 2007-05-17 |
| 1831305887 | Consumerhealth, Inc. | Dentist | 3560 Arlington Ave, Riverside, CA 92506-3936 | 2007-05-15 |
| 1366500670 | Allan Nguyen | Dentist | 3560 Arlington Ave, Riverside, CA 92506-3936 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
| 1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
| 1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
| 1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| Find all providers in zip 92506 | ||||
| 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 |
|---|---|---|---|---|
| 1932710522 | Fadi Demian | Dentist | 8990 Garfield St Ste 4, Riverside, CA 92503-3922 | 2020-08-16 |
| 1942819966 | Aaron Michael Coyoca | Dentist | 5051 Canyon Crest Dr Ste 103, Riverside, CA 92507-6035 | 2020-07-26 |
| 1205452265 | Av Family Dentistry | Dentist | 2211 University Ave, Riverside, CA 92507-4259 | 2020-06-24 |
| 1821619966 | Dr Paz Casanova Dental Group Inc | Dentist | 8151 Arlington Ave Ste R, Riverside, CA 92503-0437 | 2020-04-29 |
| 1700439668 | Sumin Kang | Dentist | 19040 Van Buren Blvd Ste 111, Riverside, CA 92508-9160 | 2019-07-19 |
| 1295397107 | Cole Cameron Scott | Dentist | 3731 Tibbetts St Ste 1, Riverside, CA 92506-2604 | 2019-07-01 |
| 1457912040 | Kashif Ahmed | Dentist | 19510 Van Buren Blvd Ste F5, Riverside, CA 92508-9458 | 2019-06-24 |
| 1831652197 | Christina Bui | Dentist | 3602 Riverside Plaza Dr Ste 101, Riverside, CA 92506-2726 | 2019-04-12 |
| 1558846725 | Riverside Family Dental, LLC | Dentist | 1445 Wampanoag Trl Unit 209, Riverside, RI 02915-1019 | 2018-10-03 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| Find all providers in RIVERSIDE | ||||
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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.