ANGELITA Y. LUCIANO D.M.D., INC. (NPI# 1891972063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891972063 |
| Entity Type | Organization |
| Organization Name | ANGELITA Y. LUCIANO D.M.D., INC. |
| Other Organization Name | NONE |
| Practice Address |
1695 Alum Rock Ave Suite #1 San Jose CA 95116-2445 |
| Practice Telephone | 4082583584 |
| Practice Fax Number | 4082583586 |
| Mailing Telephone | 4082583584 |
| Mailing Fax Number | 4082583586 |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |
| Authorized Official Name | MR. BERNARDO LAPENA LUCIANO JR. (OFFICE MANAGER) |
| Authorized Official Telephone | 4082583584 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
41274 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTICAL | B41274-01 | 01 |
| Other Name | Type Code |
|---|---|
| none | Doing Business As Name - Organization |
| Street Address |
1695 ALUM ROCK AVE SUITE #1 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95116-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164443768 | Mong-hoa Truong | Family Medicine | 1695 Alum Rock Ave, 7a, San Jose, CA 95116-2445 | 2006-07-21 |
| 1336341064 | Charles Quat Tran | Dentist | 1695 Alum Rock Ave, Suite 6, San Jose, CA 95116-2445 | 2007-06-04 |
| 1891835492 | Lan Ngoc Trinh | Dentist | 1695 Alum Rock Ave, Suit 7b, San Jose, CA 95116-2445 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
| 1306333174 | Patrick Suezaki | Dentist | 250 Montclair Ave Ste C, San Jose, CA 95116 | 2018-04-17 |
| 1871016147 | Israel Enrique Ruiz Lora | Social Worker | 1075 East Santa Clara, San Jose, CA 95116 | 2017-07-19 |
| 1275072613 | Araceli Yazmin Garcia | Case Manager/Care Coordinator | 1652 E San Fernando St, San Jose, CA 95116 | 2017-02-17 |
| 1710304712 | Natalie K. Huynh D.d.s Inc. | Dentist | 2340 Mckee Rd #24, San Jose, CA 95116 | 2014-03-27 |
| 1437597747 | Ian Ellis Mccoy | Internal Medicine | 2360 Mckee Rd Ste 10, San Jose, CA 95116 | 2013-06-08 |
| 1588913321 | Adrian Fernandez | Counselor | 1245 East Santa Clara Street, San Jose, CA 95116 | 2012-09-07 |
| 1851678841 | Krystal Lani Subia | Counselor | 101 Jose Figueres Avenue, San Jose, CA 95116 | 2011-11-04 |
| 1255668224 | Sophia O.j.m. Dijkstra | Physical Therapist | 180 N. Jackson Ave, San Jose, CA 95116 | 2009-11-11 |
| 1255562096 | Jovan De Guzman Sedilla | Physical Therapy Assistant | 180 N. Jackson Ave., San Jose, CA 95116 | 2009-07-28 |
| Find all providers in zip 95116 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033750195 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 5253 Prospect Rd Ste D-2, San Jose, CA 95129-5025 | 2019-09-30 |
| 1295203941 | Dr. Jacqueline B. Nguyen, Dds, Apc | Clinic/Center | 2847 S White Rd Ste 204, San Jose, CA 95148-2942 | 2018-11-09 |
| 1326521055 | Rachana Vyas Dds Inc | Clinic/Center | 5150 Graves Ave Ste 5c, San Jose, CA 95129-5005 | 2018-09-10 |
| 1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
| 1750860912 | Cory A. Timbers, Dds, Inc. | Clinic/Center | 155 N Jackson Ave Ste 202, San Jose, CA 95116-1925 | 2018-08-08 |
| 1730675109 | Healing Property LLC | Clinic/Center | 2211 Moorpark Ave Ste 100, San Jose, CA 95128-2655 | 2018-07-09 |
| 1225524226 | Young Dental Corporation | Clinic/Center | 1705 Branham Ln Ste B4, San Jose, CA 95118-5222 | 2018-07-03 |
| 1902399637 | Changndds, Inc | Clinic/Center | 3161 Senter Rd Ste F&g, San Jose, CA 95111-1300 | 2018-06-07 |
| 1861981813 | Rachna Pall D.d.s Inc. | Clinic/Center | 2323 Montpelier Dr Ste B, San Jose, CA 95116-1611 | 2018-05-05 |
| 1194212464 | Thao Minh Nguyen, Dds, Inc | Clinic/Center | 2811 Story Rd Ste 50, San Jose, CA 95127-3924 | 2018-04-22 |
| Find all providers in SAN JOSE | ||||
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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.