DR.KERI,A PROFESSIONAL CORPORATION (NPI# 1861833998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861833998 |
| Entity Type | Organization |
| Organization Name | DR.KERI,A PROFESSIONAL CORPORATION |
| Practice Address |
11943 El Camino Real Ste 200 San Diego CA 92130-2597 |
| Mailing Address |
2226 Otay Lakes Rd Ste A Chula Vista CA 91915-1010 |
| Practice Telephone | 6192167336 |
| Practice Fax Number | 6192162084 |
| Mailing Telephone | 6192167336 |
| Mailing Fax Number | 6192162084 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |
| Authorized Official Name | MS. LAURA ELENA FLORES (OFFICE MANAGER) |
| Authorized Official Telephone | 6195912642 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
42542 | CA | Dental Providers |
| Street Address |
11943 EL CAMINO REAL STE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-2597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710325220 | Carmel Valley Surgical Center | Clinic/Center | 11943 El Camino Real, Suite 100, San Diego, CA 92130-2597 | 2013-06-06 |
| 1417399411 | Carmel Valley Surgical Center LLC | Clinic/Center | 11943 El Camino Real, Suite 100, San Diego, CA 92130-2597 | 2013-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
| 1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| 1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
| Find all providers in zip 92130 | ||||
| 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 |
|---|---|---|---|---|
| 1750912333 | Wendy Yang Dds Ms PC | Dentist | 12650 Sabre Springs Pkwy Ste 205, San Diego, CA 92128-4114 | 2020-01-31 |
| 1326513474 | Nicole Lamantia | Dentist | 4347 Nobel Dr Unit 133, San Diego, CA 92122-1587 | 2018-10-04 |
| 1235655788 | Hoss/keri Km Dental Group, A Professional Corporation | Dentist | 9737 Aero Drive Ste 210, San Diego, CA 92123 | 2017-08-16 |
| 1225560501 | Jeffrey Choi | Dentist | 8110 Birmingham Way Building #28, 2nd Floor, San Diego, CA 92123 | 2017-03-28 |
| 1467990432 | Najmeh Hannanvash Dds, Inc | Dentist | 5550 Carmel Mountain Rd, 200, San Diego, CA 92130-6781 | 2017-02-09 |
| 1578975728 | Pham and Mauseth Dds Inc | Dentist | 16918 Dove Canyon Rd Ste 203, San Diego, CA 92127-3457 | 2014-05-22 |
| 1639517394 | Khuong Nguyen, Dds A Professional Dental Corporation | Dentist | 2780 Cardinal Rd Ste A, San Diego, CA 92123-3354 | 2013-06-04 |
| 1740535848 | Chieu Pham Dds Inc | Dentist | 12395 El Camino Real #312, San Diego, CA 92130 | 2012-07-16 |
| 1710256664 | Gary Robert Toppi | Dentist | 3737 Moraga Ave Ste B109, San Diego, CA 92117-5354 | 2011-12-21 |
| 1215206198 | Anthony J. Scoma, Dds Inc. | Dentist | 12036 Scripps Highland Dr Ste 100, San Diego, CA 92131-5155 | 2011-12-21 |
| Find all providers in SAN DIEGO | ||||
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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.