DR. ROSA PENG (NPI# 1043540164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043540164 |
Entity Type | Individual |
Full Name | DR. ROSA PENG |
Credential | D.M.D., M.S.D. |
Practice Address |
10600 Magnolia Ave Ste A Riverside CA 92505-1819 |
Mailing Address |
1311 N Broadway Ste A Santa Ana CA 92706-3929 |
Practice Telephone | 9513598100 |
Practice Fax Number | 9513591184 |
Mailing Telephone | 7146670411 |
Enumeration Date | 2010-01-12 |
Last Update Date | 2012-08-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
45133 | CA | Dental Providers |
Street Address |
10600 MAGNOLIA AVE STE A |
City | RIVERSIDE |
State | CA |
Zip Code | 92505-1819 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
Find all providers in zip 92505 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245697473 | Ronald Simus I | Dentist | 7170 Indiana Ave, Riverside, CA 92504-4544 | 2016-01-19 |
1538460811 | Lee Eugene Olsen | Dentist | 3564 Van Buren Blvs, Riverside, CA 92503 | 2010-11-03 |
1164674859 | Carrie Akemi Imoto | Dentist | 3511 Madison St, Riverside, CA 92504-3739 | 2008-10-14 |
1871755652 | Dr.h.c.ahuja Dds A P C | Dentist | 4959 Arlington Ave Ste H, Riverside, CA 92504-2756 | 2008-07-02 |
1063613842 | Michael Chad Hawkins | Dentist | 3511 Madison Ave Suite F, Riverside, CA 92504 | 2007-05-30 |
1740492081 | Larry B. Crawford | Dentist | 301 E Alessandro Blvd Ste 3b, Riverside, CA 92508-2464 | 2007-05-06 |
1013035153 | C Douglas Fowler Dds Inc | Dentist | 6850 Brockton Avenue, Suite 103, Riverside, CA 92506-3826 | 2007-03-27 |
1750405288 | E Jan Davidian | Dentist | 6886 Indiana Ave, Riverside, CA 92506-4218 | 2007-03-19 |
1528120797 | Hongsheng Sam Tong | Dentist | 11705 Slate Ave Ste 150, Riverside, CA 92505-7119 | 2006-12-14 |
1538235767 | Robert C Stockdale | Dentist | 3487 Central Ave, Riverside, CA 92506-2115 | 2006-11-28 |
Find all providers in RIVERSIDE |
Please comment or provide details below to improve the information on DR. ROSA PENG.
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.