DR. MIGUEL AGUSTIN GRILLO (NPI# 1942340104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942340104 |
| Entity Type | Individual |
| Full Name | DR. MIGUEL AGUSTIN GRILLO |
| Credential | MD |
| Practice Address |
12264 El Camino Real Ste 306 San Diego CA 92130-3062 |
| Practice Telephone | 8587559810 |
| Practice Fax Number | 8587559813 |
| Mailing Telephone | 8587559810 |
| Mailing Fax Number | 8587559813 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
41411 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801001425 | Miguel R Grillo | Dentist | 9136 Forest Hill Blvd, Wellington, FL 33411-6564 | 2007-05-14 |
| Street Address |
12264 EL CAMINO REAL STE 306 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-3062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831414200 | Miguel Grillo, Dmd | Dentist | 12264 El Camino Real Ste 306, San Diego, CA 92130-3062 | 2010-03-29 |
| 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 | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902154057 | Lynne Ann March | Dentist | 4685 Vista St, San Diego, CA 92116-4848 | 2012-08-21 |
| 1679733240 | Adam Jeffrey Geach | Dentist | 11777 Bernardo Plaza Ct Ste 102, San Diego, CA 92128-2450 | 2008-06-16 |
| 1164611455 | Nathan James Hornsby | Dentist | 940 B St, San Diego, CA 92101-4609 | 2007-10-23 |
| 1215076534 | Raymond E. Carpenter | Dentist | 16766 Bernardo Center Dr Ste 212, San Diego, CA 92128-2557 | 2007-02-05 |
| 1891831517 | Tony G Chammas | Dentist | 7910 Frost St Ste 160, San Diego, CA 92123-2771 | 2007-01-29 |
| 1285786616 | Bosworth, Inc A Dental Corporation | Dentist | 7675 Dagget St, #160, San Diego, CA 92111-2200 | 2007-01-17 |
| 1013075324 | Dun G Thi Phuong Nguyen | Dentist | 3426 University Ave, San Diego, CA 92104-2201 | 2006-12-05 |
| 1679656789 | Fred W Kamansky | Dentist | 6529 Mission Gorge Road, San Diego, CA 92120-2376 | 2006-10-23 |
| 1447342571 | Edward John Givens Jr. | Dentist | 2276 Fenton Pkwy, #216, San Diego, CA 92108-4750 | 2006-09-28 |
| 1598868465 | Pamela Angel Macpherson | Dentist | 4033 3rd Avenue, Suite 300, San Diego, CA 92103 | 2006-09-06 |
| 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.