MORDECAI SHALOM LIGHTMAN (NPI# 1871687152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871687152 |
| Entity Type | Individual |
| Full Name | MORDECAI SHALOM LIGHTMAN |
| Credential | DDS |
| Practice Address |
6244 El Cajon Blvd #14 San Diego CA 92115 |
| Mailing Address |
5256 College Gardens Ct San Diego CA 92115 |
| Practice Telephone | 6195836791 |
| Practice Fax Number | 6195834101 |
| Mailing Telephone | 6192866420 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
25417 | CA | Dental Providers |
| Street Address |
6244 EL CAJON BLVD #14 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003468489 | Kevin Robert Niedzialek | Case Manager/Care Coordinator | 6244 El Cajon Blvd, San Diego, CA 92115-3918 | 2019-07-15 |
| 1659935013 | Ronald A Burch Jr. | Student in an Organized Health Care Education/Training Program | 6244 El Cajon Blvd, San Diego, CA 92115-3918 | 2019-04-30 |
| 1538623681 | Cctc, Corp | Nurse Practitioner | 6244 El Cajon Blvd, San Diego, CA 92115-3918 | 2019-01-23 |
| 1609340835 | Efrain Lopez | Nurse Practitioner | 6244 El Cajon Blvd, San Diego, CA 92115-3918 | 2019-01-22 |
| 1679057228 | Joachia Hammond-grice | Counselor | 6244 El Cajon Blvd, San Diego, CA 92115-3918 | 2018-09-19 |
| 1265930473 | Laura Salvador | Registered Nurse | 6244 El Cajon Blvd, San Diego, CA 92115-3918 | 2018-01-23 |
| 1104367424 | Thomas Blasquez | Student in an Organized Health Care Education/Training Program | 6244 El Cajon Blvd, Suite 15, San Diego, CA 92115-3918 | 2017-03-20 |
| 1669925376 | Jason Hespenhide | Marriage & Family Therapist | 6244 El Cajon Blvd, San Diego, CA 92115-3918 | 2016-07-28 |
| 1336500818 | Courtney Nicole Sanfilippo | Counselor | 6244 El Cajon Blvd, Suite 15, San Diego, CA 92115-3918 | 2016-03-11 |
| 1841665122 | Michael Lee Meadows | Counselor | 6244 El Cajon Blvd, 15, San Diego, CA 92115-3918 | 2015-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313922 | Mayra Ailed Bugarin | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center 5454, El Cajon Blvd, San Diego, CA 92115 | 2020-04-01 |
| 1093369878 | Chang Liu | Counselor | 3539 College Avenue, San Diego, CA 92115 | 2019-07-30 |
| 1689238560 | Donia Ahadian | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center, 5454 El Cajon Blvd, San Diego, CA 92115 | 2019-04-26 |
| 1780157859 | James Michael Sites | Military Health Care Provider | Uss Shoup Ddg 86, San Diego, CA 92115 | 2019-01-10 |
| 1780163006 | Marcos Luis Sandoval | Case Manager/Care Coordinator | 6224 El Cajon Blvd, Suite 17, San Diego, CA 92115 | 2018-08-08 |
| 1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
| 1982125605 | Ellen Medical Transport | Non-emergency Medical Transport (VAN) | 4587 Winona Ave #5, San Diego, CA 92115 | 2017-07-03 |
| 1992225296 | P'okot LLC | Non-emergency Medical Transport (VAN) | 5511 Adelaide Ave, 26, San Diego, CA 92115 | 2017-06-27 |
| 1578019840 | Alfred Zygmunt Nowak | Specialist/Technologist | 6663 Reservoir Ln, San Diego, CA 92115 | 2016-08-28 |
| 1639534183 | Kalkaal Financial Enterprise, LLC. | Non-emergency Medical Transport (VAN) | 5055 Collwood Blvd., Unit 108, San Diego, CA 92115 | 2015-12-29 |
| Find all providers in zip 92115 | ||||
| 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 |
|---|---|---|---|---|
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1831797489 | Lily Neskin | Dentist | 4454 Shorepointe Way, San Diego, CA 92130-8635 | 2020-10-15 |
| 1487251294 | Zeki Abdulaali | Dentist | 1501 India St Unit 607, San Diego, CA 92101-2449 | 2020-10-05 |
| 1629681895 | Elizabeth Rodriguez | Dentist | 14701 Via Bettona Ste 215, San Diego, CA 92127-4808 | 2020-08-27 |
| 1679183602 | Hayat Fahliogullari-smith | Dentist | 1281 9th Ave Unit 1309, San Diego, CA 92101-4655 | 2020-08-04 |
| 1235768631 | Virgnia Padua Mattson D.m.d. | Dentist | 11717 Bernardo Plaza Ct Ste 100, San Diego, CA 92128-2419 | 2020-04-07 |
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1215568043 | Hage Dental Corporation | Dentist | 3365 Rosecrans St Ste C, San Diego, CA 92110-4256 | 2020-01-30 |
| 1275174310 | Yige Zhao Dental Corporation | Dentist | 9840 Carmel Mountain Rd, San Diego, CA 92129-2812 | 2019-09-30 |
| 1083255111 | Wayne David Gonzales | Dentist | 8031 Linda Vista Rd # 210, San Diego, CA 92111-5110 | 2019-09-30 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on MORDECAI SHALOM LIGHTMAN.
| 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.