JO-ANN DE JESUS AFRICA DDS INC (NPI# 1811462369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811462369 |
| Entity Type | Organization |
| Organization Name | JO-ANN DE JESUS AFRICA DDS INC |
| Practice Address |
15375 Baseline Ave Ste 5 Fontana CA 92336-5774 |
| Mailing Address |
15691 Montgomery Dr Fontana CA 92336-1770 |
| Practice Telephone | 9099047778 |
| Practice Fax Number | 8779837726 |
| Mailing Telephone | 6263778909 |
| Mailing Fax Number | 8779837726 |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |
| Authorized Official Name | DR. JO-ANN DE JESUS AFRICA (DENTIST/OWNER) |
| Authorized Official Telephone | 9099047778 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | JO-ANN DE JESUS AFRICA DDS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
15375 BASELINE AVE STE 5 |
| City | FONTANA |
| State | CA |
| Zip Code | 92336-5774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700361243 | Schmidt and Jefferson Dental Corporation | Dentist | 16944 South Highland Avenue, Ste. 400, Fontana, CA 92336 | 2018-10-01 |
| 1275032658 | Kenitha Pulliam | Behavioral Analyst | 14051 Catalina Ct, Fontana, CA 92336 | 2018-02-12 |
| 1568961183 | Jordan Frailey | Marriage & Family Therapist | 9161 Sierra Ave. Suite 213, Fontana, CA 92336 | 2018-02-09 |
| 1689198905 | Sara Alyssa Lynch | Specialist/Technologist | 7151 Oak Tree Place, Fontana, CA 92336 | 2017-07-28 |
| 1043749526 | Eric Ceasar Parian Lopez | Registered Nurse | 16001 Pfc Paris Montanez Dr., Fontana, CA 92336 | 2017-06-08 |
| 1275065393 | Alyssa Calderon | Marriage & Family Therapist | 14335 Quail Ct, Fontana, CA 92336 | 2017-03-29 |
| 1588029219 | Daisy Maritza Santana | Behavioral Analyst | 16320 Rosa Linda Ln, Fontana, CA 92336 | 2015-12-23 |
| 1407237498 | Natalie Kathleen Herrera | Physician Assistant | 16456 Sierra Lakes Pkwy, Suite 300, Fontana, CA 92336 | 2015-06-15 |
| 1255738241 | Southern California Picc Providers, Inc. | Spec/Tech, Cardiovascular | 5787 Little Shay Dr, Fontana, CA 92336 | 2014-11-19 |
| 1396175758 | Martha C Ajca | Physician Assistant | 17051 Sierra Lakes Parkway, Suite 101, Fontana, CA 92336 | 2013-11-22 |
| Find all providers in zip 92336 | ||||
| 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 |
|---|---|---|---|---|
| 1285137729 | Hoa Nguyen, Dmd, Inc | Dentist | 9190 Sierra Ave Ste 101, Fontana, CA 92335-8613 | 2018-03-12 |
| 1316469885 | Olga Leizerovitz | Dentist | 7426 Cherry Ave Ste 250, Fontana, CA 92336-4221 | 2017-07-16 |
| 1295275642 | Mikaela Benlulu | Dentist | 9193 Sierra Ave Ste A, Fontana, CA 92335-4776 | 2017-03-06 |
| 1982067229 | Youngkwun Kim Dds Inc | Dentist | 8110 Mango Ave Ste 101, Fontana, CA 92335-3603 | 2016-04-04 |
| 1053778241 | Maria Kim | Dentist | 16475 Sierra Lakes Pkwy, 140, Fontana, CA 92336-1259 | 2016-01-20 |
| 1104176817 | Mauricio Dossantos | Dentist | 11201 Sierra Ave Ste 1f, Fontana, CA 92337-7581 | 2012-09-11 |
| 1992079230 | Ivan V. Madzarevic | Dentist | 8990 Sierra Ave., #f, Fontana, CA 92335 | 2012-03-05 |
| 1770879439 | Daniel Wonil Hwang Dds,inc | Dentist | 17695 Arrow Blvd Ste J, Fontana, CA 92335-4041 | 2011-06-21 |
| 1487953949 | Maria Virginia Bravo-espinoza | Dentist | 16147 Foothill Blvd, A, Fontana, CA 92335-0000 | 2011-03-23 |
| 1639476765 | Fontana Dental Clinic | Dentist | 16989 Valley Blvd, Suite B, Fontana, CA 92335-6806 | 2011-02-25 |
| Find all providers in FONTANA | ||||
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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.