DR. EVELYN TARCILA HUAMAN (NPI# 1720302375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720302375 |
| Entity Type | Individual |
| Full Name | DR. EVELYN TARCILA HUAMAN |
| Credential | D.M.D. |
| Practice Address |
9040 Friars Road Suite #535 San Diego CA 92108 |
| Practice Telephone | 6195160018 |
| Practice Fax Number | 6195167085 |
| Mailing Telephone | 6195160018 |
| Mailing Fax Number | 6195167085 |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2012-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
56444 | CA | Dental Providers |
| Street Address |
9040 FRIARS ROAD SUITE #535 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073966057 | Kennie Kwok Dmd, Inc | Dentist | 4060 4th Ave Ste 303, San Diego, CA 92103-2120 | 2016-07-14 |
| 1457749723 | Nguyen and Yang Dental Partnership | Dentist | 9855 Erma Rd Ste 110, San Diego, CA 92131-1007 | 2015-01-08 |
| 1447653746 | Mac, Maksim and Yang Dental Partnership A General Partnership | Dentist | 9912 Carmel Mountain Rd, San Diego, CA 92129-2808 | 2014-09-30 |
| 1518396621 | Shivali Gohel Garg | Dentist | 4320 Genesee Ave Ste 203, San Diego, CA 92117 | 2013-11-08 |
| 1013215987 | David Chun-te Yu | Dentist | 3141 Trinity Bay Pl, San Diego, CA 92110-5343 | 2011-03-02 |
| 1619295201 | Khanh V. Nguyen, Dds, Inc. | Dentist | 3570 4th Ave, San Diego, CA 92103-4940 | 2010-05-07 |
| 1225200371 | Genevieve Abi-nahed | Dentist | 5210 Balboa Ave Ste A2, San Diego, CA 92117 | 2008-03-28 |
| 1396927299 | Khanh Vu Thuy Nguyen | Dentist | 3737 Moraga Ave Ste A104, San Diego, CA 92117 | 2007-12-03 |
| 1740481456 | George Crow | Dentist | 16253 Pinto Ridge Dr, San Diego, CA 92127-3425 | 2007-05-30 |
| 1134345507 | Roya Niakian A Professional Corporation | Dentist | 1111 6th Avenue Ste 102, San Diego, CA 92101 | 2007-04-17 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on DR. EVELYN TARCILA HUAMAN.
| 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.