CESAR CARRASCO DDS INC (NPI# 1891269262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891269262 |
| Entity Type | Organization |
| Organization Name | CESAR CARRASCO DDS INC |
| Practice Address |
21847 S Avalon Blvd Carson CA 90745 |
| Practice Telephone | 3105499710 |
| Practice Fax Number | 3105494049 |
| Mailing Telephone | 3105499710 |
| Mailing Fax Number | 3105494049 |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-03-07 |
| Authorized Official Name | CESAR E CARRASCO (PRESIDENT) |
| Authorized Official Telephone | 8183929634 |
| Is Organization Subpart | Y |
| Parent Organization Name | CESAR CARRASCO DDS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
21847 S AVALON BLVD |
| City | CARSON |
| State | CA |
| Zip Code | 90745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787696 | Michael Yoshio Sujishi | Technician/Technologist | 150 West Carson Street, Store 8839, Carson, CA 90745 | 2019-12-18 |
| 1427557305 | Stephanie Yunjung Ha | Nurse Practitioner | 23517 S. Main St., Carson, CA 90745 | 2018-02-06 |
| 1861911125 | Maria C Aluning | Dentist | 242 W. Carson St., Carson, CA 90745 | 2017-09-18 |
| 1144676024 | Omid Barkhordar Dental Corporation | Dentist | 101 West Carson Street, Carson, CA 90745 | 2016-05-10 |
| 1255720652 | Sandy Mauricio | Physical Therapy Assistant | 1804 E 215th St, Carson, CA 90745 | 2015-01-22 |
| 1275948994 | United Urgent Care and Wellness Center, Inc. | Clinic/Center | 522 West Carson Street, Carson, CA 90745 | 2014-06-23 |
| 1184052805 | Jumana B Hanna | Pharmacist | 500 Carson Town Center Kmart 4987 Pharmacy, Carson, CA 90745 | 2013-10-15 |
| 1679912422 | David J Chon | Dentist | 612 E Carson St #101, Carson, CA 90745 | 2013-06-14 |
| 1942644133 | Seema M Dave | Optometrist | 150 W Carson Street, Cvs Optical, Carson, CA 90745 | 2013-04-18 |
| 1336497908 | American Best Palliative and Hospice Care, Inc. | Hospice Care, Community Based | 22015 S Main St., Suite D, Carson, CA 90745 | 2012-08-29 |
| Find all providers in zip 90745 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679912422 | David J Chon | Dentist | 612 E Carson St #101, Carson, CA 90745 | 2013-06-14 |
| 1548537954 | Maria Lydia Uson Ampil | Dentist | 539 East Lomita Blvd., Unit 4, Carson, CA 90745 | 2011-11-30 |
| 1912185281 | Celia De Guzman Beto | Dentist | 22106 S Main St, Carson, CA 90745 | 2008-02-08 |
| 1912188814 | Elenita B. Liwanag | Dentist | 144 W Carson St, Carson, CA 90745-2601 | 2007-11-19 |
| 1649461088 | Randolph Lum | Dentist | 21847 Avalon Blvd, Carson, CA 90745-3304 | 2007-08-08 |
| 1669691135 | Eduardo Gabuten | Dentist | 22012 Avalon Blvd, Carson, CA 90745-3307 | 2007-04-24 |
| 1134254683 | Jung Hyeb Sim | Dentist | 602 W Sepulveda Blvd, Carson, CA 90745-6319 | 2007-02-23 |
| 1114071339 | Aurora Santos Relatores | Dentist | 625 E Carson St, Carson, CA 90745 | 2007-01-23 |
| 1467519819 | Chesley R Houske Jr., Dds, Inc | Dentist | 301 W Carson St, Carson, CA 90745-2608 | 2007-01-03 |
| 1437217783 | Guadalupe L Pereira A Prof Corp | Dentist | 155 E Lomita Blvd, Carson, CA 90745 | 2006-12-05 |
| Find all providers in CARSON | ||||
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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.