LUCERO DENTAL CLINIC (NPI# 1891824405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891824405 |
| Entity Type | Organization |
| Organization Name | LUCERO DENTAL CLINIC |
| Practice Address |
2740 S Bristol St Suite 206 Santa Ana CA 92704-6209 |
| Practice Telephone | 7145570201 |
| Practice Fax Number | 7145570722 |
| Mailing Telephone | 7145570201 |
| Mailing Fax Number | 7145570722 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2008-08-26 |
| Authorized Official Name | MRS. MARTHA R LUCERO PEREZ (OWNER) |
| Authorized Official Telephone | 7145349480 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
35947 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104955475 | Lucero Dental Clinic | Dentist | 12833 Harbor Blvd, Suite F 3, Garden Grove, CA 92840-5806 | 2007-03-05 |
| Street Address |
2740 S BRISTOL ST SUITE 206 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92704-6209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982674305 | Michael Thomas Mumford | Internal Medicine | 2740 S Bristol St, Suite 216, Santa Ana, CA 92704-6209 | 2006-01-26 |
| 1275911075 | Tracy Huynh | Nurse Practitioner | 2740 S Bristol St, #208, Santa Ana, CA 92704-6209 | 2015-05-12 |
| 1174940712 | Rai Care Centers of Santa Ana LLC | Clinic/Center | 2740 S Bristol St, Ste 110, Santa Ana, CA 92704-6209 | 2014-03-20 |
| 1780942417 | Rai Care Centers of Santa Ana, LLC | Clinic/Center | 2740 S Bristol St, Suite 110, Santa Ana, CA 92704-6209 | 2012-05-01 |
| 1588949275 | Persue Health Partnership | Durable Medical Equipment & Medical Supplies | 2740 S Bristol St, 218 203, Santa Ana, CA 92704-6209 | 2011-10-13 |
| 1982928412 | Praseuth Souvannavong | Durable Medical Equipment & Medical Supplies | 2740 S Bristol St, 218, Santa Ana, CA 92704-6209 | 2010-03-26 |
| 1558568311 | Jeffrey A. Elo, Dds, Ms, Inc. | Dentist | 2740 S Bristol St, Suite 107, Santa Ana, CA 92704-6209 | 2007-06-27 |
| 1972689859 | Michael T Mumford Md Inc | Internal Medicine | 2740 S Bristol St, 218, Santa Ana, CA 92704-6209 | 2006-10-31 |
| 1679667372 | Quida Deborah Draine | Military Health Care Provider | 2740 S Bristol St, Suite 110, Santa Ana, CA 92704-6209 | 2006-10-03 |
| 1881705556 | Jorge Ruiz Lopez | Family Medicine | 2740 S Bristol St, Suite 100, Santa Ana, CA 92704-6209 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437771805 | Mohammad Abul-fielat Dds Inc | Dentist | 2341 S Bristol Street, Santa Ana, CA 92704 | 2020-05-08 |
| 1639728538 | Dorothy A Powell | Technician | 722 S. Arapaho Dr, Santa Ana, CA 92704 | 2019-09-04 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1215414024 | Sonia Molina | Dietitian, Registered | 2100 W Alton Ave Ste 2, Santa Ana, CA 92704 | 2018-07-24 |
| 1558854612 | Laura Fessler | Nurse Practitioner | 3501 S. Harbor Blvd, Santa Ana, CA 92704 | 2018-06-12 |
| 1104317940 | The Mend of California, LLC | Substance Abuse Rehabilitation Facility | 1909 W. Carlton Place, Santa Ana, CA 92704 | 2018-05-29 |
| 1154811784 | Phleetbo LLC | In Home Supportive Care | 3760 W Mcfadden Ave # B164, Santa Ana, CA 92704 | 2018-05-18 |
| 1588151393 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 3501 S Harbor Blvd Ste 140-b, Santa Ana, CA 92704 | 2018-04-17 |
| 1952811978 | Rising Roads Recovery Services for Women, LLC | Substance Abuse Rehabilitation Facility | 2750 S Harbor Blvd Ste G, Santa Ana, CA 92704 | 2017-10-04 |
| 1427577907 | Advance Oc Surgical Inc. | Clinic/Center | 3500 S. Bristol St., Suite 200, Santa Ana, CA 92704 | 2017-09-15 |
| Find all providers in zip 92704 | ||||
| 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 |
|---|---|---|---|---|
| 1750997011 | Anisha Nguyen Dds Prof. Corp. | Dentist | 5127 W Edinger Ave Ste E, Santa Ana, CA 92704-1969 | 2020-09-21 |
| 1801430913 | A Nguyen Dental Corporation | Dentist | 2414 S Fairview St Ste 107a, Santa Ana, CA 92704-5345 | 2019-10-31 |
| 1225509235 | Archung & Lagatta Dds, Inc | Dentist | 1702 S Main St, Santa Ana, CA 92707-1836 | 2018-12-17 |
| 1326520735 | Truman Kim Nguyen | Dentist | 1234 S Karen Ave, Santa Ana, CA 92704-2034 | 2018-08-31 |
| 1700389830 | Edward Hakim Dds Incorporated | Dentist | 3500 S Bristol St Ste 101, Santa Ana, CA 92704-7319 | 2018-03-15 |
| 1619495322 | Mary Strachan | Dentist | 11632 Ranch Hl, Santa Ana, CA 92705-3130 | 2017-09-01 |
| 1790201762 | Acevedo Dental Office, Inc. | Dentist | 2800 N Main St Unit 1010, Santa Ana, CA 92705-6608 | 2017-08-21 |
| 1467976555 | Heather Brittany Simpson | Dentist | 1913 E 17th St Ste 113, Santa Ana, CA 92705-8627 | 2017-07-31 |
| 1336683549 | Avishan K. Nasiri, Dmd, Inc. | Dentist | 801 N Tustin Ave Ste 504, Santa Ana, CA 92705-3609 | 2016-12-06 |
| 1841742954 | Andy Truong | Dentist | 120 S Harbor Blvd Ste A, Santa Ana, CA 92704-1382 | 2016-10-25 |
| Find all providers in SANTA ANA | ||||
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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.