DR. JOEL TZINBERG (NPI# 1750823514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750823514 |
| Entity Type | Individual |
| Full Name | DR. JOEL TZINBERG |
| Practice Address |
6280 Jackson Dr Suite 5 San Diego CA 92119-3434 |
| Mailing Address |
6280 Jackson Dr San Diego CA 92119-3434 |
| Practice Telephone | 6194654617 |
| Practice Fax Number | 6194658921 |
| Mailing Telephone | 6194654617 |
| Mailing Fax Number | 6194658921 |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125K00000X | Advanced Practice Dental Therapist | 35460 | CA | Dental Providers |
| Street Address |
6280 JACKSON DR SUITE 5 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92119-3434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337622 | Bissonette, Frey, Greenberg, Greer, Malkus, Springer | Family Medicine | 6280 Jackson Dr, Ste 8, San Diego, CA 92119-3436 | 2005-06-21 |
| 1609368000 | Ashley Rina Fuentes | Nurse Practitioner | 6280 Jackson Dr, San Diego, CA 92119-3434 | 2018-05-31 |
| 1538441118 | Jonathan Zadok Fung | Dentist | 6280 Jackson Dr, Suite 6, San Diego, CA 92119-3434 | 2011-09-09 |
| 1942497318 | Roy Cass Springer | Family Medicine | 6280 Jackson Dr, Suite 8, San Diego, CA 92119-3434 | 2007-10-01 |
| 1568580546 | John C Parker Iv Phd Inc | Psychologist | 6280 Jackson Dr, Ste 7, San Diego, CA 92119-3437 | 2007-03-27 |
| 1467593335 | Bruce V Foerster | Orthopaedic Surgery | 6280 Jackson Dr, Suite 4c, San Diego, CA 92119-3434 | 2007-02-12 |
| 1609912369 | Flora Hyacinth | Chiropractor | 6280 Jackson Dr, Ste. 4c, San Diego, CA 92119-3434 | 2007-01-29 |
| 1164577250 | Sheila Marsh | Family Medicine | 6280 Jackson Dr, Suite 8, San Diego, CA 92119-3434 | 2007-01-25 |
| 1538248059 | Steve J Hernandez | Family Medicine | 6280 Jackson Dr, Ste#8, San Diego, CA 92119-3434 | 2006-11-03 |
| 1821199746 | Victor A. Ippolito Dds, Inc. | Dentist | 6280 Jackson Dr, Suite 3, San Diego, CA 92119-3434 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417462565 | Celena Katherine Wheeler | Behavior Technician | 6965 Golfcrest Dr, San Diego, CA 92119 | 2017-12-12 |
| 1932437969 | Halyna Yevgenivna West | Internal Medicine | 6280 Jackson Drive, Suite #8, San Diego, CA 92119 | 2009-12-02 |
| 1346406303 | Marcel T. Bougher, Dds, Inc | Clinic/Center | 6280 Jackson Drive Suite 1, San Diego, CA 92119 | 2008-07-30 |
| 1316163819 | Mark W Christensen | Dentist | 7187 Navajo Rd., Suite A, San Diego, CA 92119 | 2007-04-17 |
| 1154429306 | Zoe Cristina Suciu | Dentist | 7424 Jackson Dr, #6, San Diego, CA 92119 | 2006-09-20 |
| 1255442448 | Ashley Allen Goodman | Dentist | 8736 Lake Murry Blvd, Ste 108, San Diego, CA 92119 | 2006-08-31 |
| 1811006067 | Ashley A Goodman Dds A Professional Corporation | Dentist | 8736 Lake Murray Blvd, Ste 108, San Diego, CA 92119 | 2006-08-30 |
| 1205943495 | Michael Anthony Stefanidis | Dentist | 7424 Jackson Dr #8, San Diego, CA 92119 | 2006-08-24 |
| 1720003056 | Miranda B Williams | Psychologist | 7290 Navajo Rd Ste 105, San Diego, CA 92119 | 2006-07-13 |
| 1003301391 | Allen Chung | Optometrist | 8312 Lake Murray Blvd Ste C, San Diego, CA 92119 | 2018-06-28 |
| Find all providers in zip 92119 | ||||
| Taxonomy Code | 125K00000X |
| Grouping | Dental Providers |
| Classification | Advanced Practice Dental Therapist |
| An Advanced Practice Dental Therapist is: (1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or (2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum. The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.106. [7/1/2012: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184286304 | Alexis Leigh Carrillo-holguin | Advanced Practice Dental Therapist | 501 W Broadway Ste 800, San Diego, CA 92101-3546 | 2019-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760459 | Carlos Heriberto Quinonez | Advanced Practice Dental Therapist | 16077 Chella Dr, Hacienda Heights, CA 91745-6402 | 2020-11-06 |
| 1033753298 | Lynnette Bradley | Advanced Practice Dental Therapist | 4218 Giles Ct, Riverside, CA 92503-3154 | 2019-10-31 |
| 1598314023 | Peter Korn | Advanced Practice Dental Therapist | 11135 Rosemary Dr, Auburn, CA 95603-5945 | 2019-09-06 |
| 1154982395 | Evelyn Marie Schrager | Advanced Practice Dental Therapist | 803 E Woodhaven Ln, Fresno, CA 93720-1209 | 2019-06-27 |
| 1558828160 | Charon Moody | Advanced Practice Dental Therapist | 727 E Holborn Dr, Carson, CA 90746-2328 | 2019-03-01 |
| 1104371368 | Marie Ekins Rdhap Corp | Advanced Practice Dental Therapist | 10831 Canelo Rd, Whittier, CA 90604-1902 | 2016-08-17 |
| 1922484682 | Travis Tramel | Advanced Practice Dental Therapist | 4199 Flat Rock Dr, Suite 127, Riverside, CA 92505-7115 | 2015-08-05 |
| 1851774186 | Terri De La Pena | Advanced Practice Dental Therapist | 10011 Shaggybark Dr, Santee, CA 92071-1136 | 2015-07-06 |
| 1720470230 | Christine Jackson-bartolomei | Advanced Practice Dental Therapist | 4806 Darlington Ln, Sacramento, CA 95835-2000 | 2015-02-21 |
| 1356753826 | Megan Ellen Graff | Advanced Practice Dental Therapist | 6084 Gold Spirit St, Eastvale, CA 92880-0988 | 2014-06-02 |
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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.