DR. J R ABOUD (NPI# 1801929039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801929039 |
| Entity Type | Individual |
| Full Name | DR. J R ABOUD |
| Credential | DDS |
| Practice Address |
16177 Hesperian Blvd San Lorenzo CA 94580-2451 |
| Practice Telephone | 5102766930 |
| Practice Fax Number | 5102761061 |
| Mailing Telephone | 5102766930 |
| Mailing Fax Number | 5102761061 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
23083 | CA | Dental Providers |
| Street Address |
16177 HESPERIAN BLVD |
| City | SAN LORENZO |
| State | CA |
| Zip Code | 94580-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902963051 | Gagandeep Singh Kohli | Dentist | 16177 Hesperian Blvd, San Lorenzo, CA 94580-2451 | 2007-01-01 |
| 1891103214 | Kohli Dds Inc | Dentist | 16177 Hesperian Blvd, San Lorenzo, CA 94580-2451 | 2014-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497226047 | Sunrise Care Home LLC | Clinic/Center | 1447 Via Lucas, San Lorenzo, CA 94580 | 2018-12-07 |
| 1700370459 | Andrea Gisela Sanchez - Altamirano | Behavioral Analyst | 16215 Via Arriba Apt 205, San Lorenzo, CA 94580 | 2018-06-17 |
| 1700326030 | Cozy Physical Therapy | Clinic/Center | 16012 Via Granada, San Lorenzo, CA 94580 | 2017-03-06 |
| 1912255605 | Brandi S Gates | Lactation Consultant, Non-RN | 1474 Via Coralla, San Lorenzo, CA 94580 | 2012-08-28 |
| 1255525572 | Charlex Corp Usa | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 16829 Daryl Ave, San Lorenzo, CA 94580 | 2007-08-29 |
| 1194917187 | Charlex Corp Usa | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 16837 Daryl Ave, San Lorenzo, CA 94580 | 2007-08-14 |
| 1629136080 | Winston F Yee | Dentist | 17760 Hesperian Blvd, San Lorenzo, CA 94580 | 2006-12-05 |
| 1871686568 | Linh P Nguyen | Chiropractor | 15817 Channel Street, San Lorenzo, CA 94580 | 2006-10-02 |
| 1821024902 | John Peter Derdivanis | Dentist | 15600 Washington Ave.ste.e, San Lorenzo, CA 94580 | 2006-06-23 |
| 1588104608 | Cozy Physical Therapy Professional Corporation | Clinic/Center | 16012 Via Granada, San Lorenzo, CA 94580 | 2017-03-08 |
| Find all providers in zip 94580 | ||||
| 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 |
|---|---|---|---|---|
| 1386080125 | Cristina N. Caro | Dentist | 186 Munoz Rivera Ave., San Lorenzo, PR 00754 | 2013-05-20 |
| 1245460203 | Richard Rosello Mecua | Dentist | 17735 Hesperian Blvd, San Lorenzo, CA 94580-3034 | 2009-07-23 |
| 1336357144 | Torres Dental Corp, Psc | Dentist | Colon 2 Oeste, San Lorenzo, PR 00754-3407 | 2007-05-18 |
| 1821130840 | Ivan R Aponte | Dentist | No 64 Jose De Diego St, San Lorenzo, PR 00754 | 2007-02-13 |
| 1912045451 | Fernando R Miranda-ramirez | Dentist | 157 Calle Munoz Rivera S, San Lorenzo, PR 00754-4209 | 2007-02-04 |
| 1740330802 | Nelson Eric Torres-rivera | Dentist | Calle Colon Num. 2 Oeste, San Lorenzo, PR 00754-3407 | 2007-01-11 |
| 1942316609 | Kazi, Inc. | Dentist | 10 Lewelling Blvd, San Lorenzo, CA 94580-1628 | 2006-08-22 |
| 1003835570 | Paul Chau Nguyen | Dentist | 15931 Hesperian Blvd, San Lorenzo, CA 94580-1539 | 2006-07-18 |
| 1356399653 | Javier Lee Borges | Dentist | Plaza Buxo Cair #181 E Dif # 2 Local #3, San Lorenzo, PR 00754 | 2006-05-05 |
| 1568420461 | Yolanda Heredia Matos | Dentist | Plaza Buxo Carr 181, Edif 2 Local 3, San Lorenzo, PR 00754 | 2006-05-02 |
| Find all providers in SAN LORENZO | ||||
| City | SAN LORENZO |
| Zip Code | 94580 |
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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.