PATRICIO ANDRES (NPI# 1689985905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689985905 |
| Entity Type | Individual |
| Full Name | PATRICIO ANDRES |
| Credential | PEDIATRIC DENTIST |
| Practice Address |
397 E St Ste #a Chula Vista CA 91910 |
| Practice Telephone | 6194259930 |
| Practice Fax Number | 6194259887 |
| Mailing Telephone | 6194259930 |
| Mailing Fax Number | 6194259887 |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
55782 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306933007 | Patricio Manuel Andres | Military Health Care Provider | 4501 Summerhill Rd, Apt. # 231, Texarkana, TX 75503-4422 | 2006-10-06 |
| Street Address |
397 E ST STE #A |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497823561 | Safoura Massoumi | Dentist | 397 E St, Ste #a, Chula Vista, CA 91910 | 2006-11-30 |
| 1548692643 | Regina Capulong | Dentist | 397 E St, Chula Vista, CA 91910-2684 | 2013-07-31 |
| 1346373255 | Jhang Hyung Lim | Dentist | 397 E St, Ste #a, Chula Vista, CA 91910 | 2007-03-13 |
| 1306988118 | The Safoura Massouri Professional Dental Corp | Dentist | 397 E St, Ste #a, Chula Vista, CA 91910 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
| 1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
| 1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
| 1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
| 1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| Find all providers in zip 91910 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578942942 | Emily Vaccarezza | Dentist | 2446 Fenton St Ste 102, Chula Vista, CA 91914-3516 | 2015-05-19 |
| 1710234935 | David Corey Patterson | Dentist | 397 E Street, Chula Vista, CA 91910 | 2012-08-07 |
| 1679838528 | Rayna Tovah Karoll | Dentist | 222 3rd Ave, Chula Vista, CA 91910-2711 | 2012-07-06 |
| 1942580923 | Vivien Lao | Dentist | 2226 Otay Lakes Rd Ste Aandb, Chula Vista, CA 91915-1000 | 2011-08-23 |
| 1861668451 | Benita Janine De Mirza | Dentist | 345 F St Ste 260, Chula Vista, CA 91910-2649 | 2008-05-02 |
| 1356471460 | Safoura Massoumi Professional Dental Corp. | Dentist | 397 E Street Suite A, Chula Vista, CA 91910 | 2007-03-07 |
| 1497823561 | Safoura Massoumi | Dentist | 397 E St, Ste #a, Chula Vista, CA 91910 | 2006-11-30 |
| 1730251851 | Nazli Keri | Dentist | 2226 Otay Lakes Rd Ste A, Chula Vista, CA 91915-1000 | 2006-11-14 |
| 1093733925 | Ilse Savelli | Dentist | 355 K St, Suite A, Chula Vista, CA 91911-1209 | 2006-07-18 |
| 1255857942 | Emily Vaccarezza, Dds, Inc | Dentist | 2446 Fenton St Ste 102, Chula Vista, CA 91914-3516 | 2017-08-15 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91910 |
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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.