EDMUND W. JAY, D.D.S.,INC. (NPI# 1679873186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679873186 |
| Entity Type | Organization |
| Organization Name | EDMUND W. JAY, D.D.S.,INC. |
| Practice Address |
3737 Moraga Ave B-300 San Diego CA 92117-5404 |
| Practice Telephone | 8582700682 |
| Practice Fax Number | 8582700685 |
| Mailing Telephone | 8582700682 |
| Mailing Fax Number | 8582700685 |
| Enumeration Date | 2010-10-31 |
| Last Update Date | 2010-10-31 |
| Authorized Official Name | DR. EDMUND WALT JAY (PRESIDENT / OWNER DENTIST) |
| Authorized Official Telephone | 8582700682 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 36384 | CA | Ambulatory Health Care Facilities |
| Street Address |
3737 MORAGA AVE B-300 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92117-5404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821156 | Harriet F Seldin | Dentist | 3737 Moraga Ave, Ste B113, San Diego, CA 92117-5356 | 2005-06-16 |
| 1093274623 | Gabrielle Thomason | Physical Therapist | 3737 Moraga Ave, San Diego, CA 92117-5404 | 2019-03-13 |
| 1932654779 | N2 Periodontics | Dentist | 3737 Moraga Ave, Suite A104, San Diego, CA 92117-5404 | 2016-08-22 |
| 1780061549 | Valencia Luckman Dds Inc | Dentist | 3737 Moraga Ave, B206, San Diego, CA 92117-5404 | 2015-04-30 |
| 1679966881 | Monica Perlman Md Inc. | Family Medicine | 3737 Moraga Ave, Suite B-103, San Diego, CA 92117-5352 | 2015-03-12 |
| 1154711521 | Edmund Walt Jay | Dentist | 3737 Moraga Ave, Ste. B-300, San Diego, CA 92117-5404 | 2015-01-23 |
| 1275888257 | Valencia Tatania Luckman | Dentist | 3737 Moraga Ave, B-206, San Diego, CA 92117-5492 | 2012-07-17 |
| 1992063259 | Theresa Boone | Acupuncturist | 3737 Moraga Ave, Suite A2, San Diego, CA 92117-5404 | 2012-04-24 |
| 1477821882 | Jay Akef, Dds Dental Corporation | Dentist | 3737 Moraga Ave, B-212, San Diego, CA 92117-5404 | 2011-12-13 |
| 1336479674 | Richard M Stein | Chiropractor | 3737 Moraga Ave, Bldg. A, Suite 207, San Diego, CA 92117-5404 | 2010-01-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1568956050 | Lourdes C Villagran | Case Manager/Care Coordinator | 4474 Charger Blvd, San Diego, CA 92117 | 2018-06-18 |
| 1750893509 | Dzendzel Family Chiropractic | Chiropractor | 3650 Clairemont Drive, Ste 2, San Diego, CA 92117 | 2017-11-02 |
| 1205355401 | Alan Ford | Counselor | 4150 Ute Dr., San Diego, CA 92117 | 2017-09-19 |
| 1780101238 | Allison Dawn Heeney | Occupational Therapist | 3386 Hopi Place, San Diego, CA 92117 | 2017-08-25 |
| 1275074379 | Rachel Gabrielle Packer | Counselor | 5252 Balboa Ave Ste 801, San Diego, CA 92117 | 2017-03-09 |
| 1316482995 | Lisa Graff-marsh, Inc. | Social Worker | 4985 Park Rim Dr., San Diego, CA 92117 | 2017-01-05 |
| 1417408949 | Markos and Markos 1 Inc | Private Vehicle | 4495 Clairemont Mesa Blvd, San Diego, CA 92117 | 2016-10-19 |
| 1801341813 | Huynh and Habashi Dental Corporation | Dentist | 2995 Clairemont Dr, Suite A, San Diego, CA 92117 | 2016-08-19 |
| 1184076077 | Tammy Monck | Optometrist | 3952 Clairemont Mesa Blvd Ste I, San Diego, CA 92117 | 2016-07-05 |
| Find all providers in zip 92117 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799115 | Mark Mashike Chiropractic | Clinic/Center | 12750 Carmel Country Rd Ste A111, San Diego, CA 92130-2159 | 2020-07-31 |
| 1326507591 | Shea Family Chiropractic Apc | Clinic/Center | 11770 Bernardo Plaza Ct Ste 351, San Diego, CA 92128-2426 | 2019-03-18 |
| 1205392172 | Bay Park Acupuncture, Inc. | Clinic/Center | 5080 Camino Del Arroyo, Ste. 129, San Diego, CA 92108-4100 | 2019-02-15 |
| 1922597624 | Hospital Cemesa Roatan Inc | Clinic/Center | 4025 Camino Del Rio S Ste 341, San Diego, CA 92108-4107 | 2018-05-08 |
| 1558876813 | South America Medical Network Inc | Clinic/Center | 4025 Camino Del Rio S Ste 330, San Diego, CA 92108-4107 | 2017-12-08 |
| 1871023515 | Abi P&o Inc | Clinic/Center | 6190 Fairmount Ave Ste A, San Diego, CA 92120-3428 | 2017-06-15 |
| 1548705908 | Free Flow Health Acupuncture | Clinic/Center | 4002 Park Blvd. Ste.e, San Diego, CA 92103 | 2016-12-21 |
| 1912452087 | Oria Health and Wellness | Clinic/Center | 16150 Big Springs Way, San Diego, CA 92127-2024 | 2016-08-18 |
| 1053707208 | Connecticut General Life Insurance Company | Clinic/Center | 8620 Spectrum Center Blvd, San Diego, CA 92123-1406 | 2015-04-14 |
| 1487042198 | Mina Habibian Dmd Phd Dental Corporation | Clinic/Center | 11385 Poway Rd Ste 103, San Diego, CA 92128-5600 | 2015-01-04 |
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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.