BALBOA FAMILY DENTISTRY (NPI# 1073036539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073036539 |
| Entity Type | Organization |
| Organization Name | BALBOA FAMILY DENTISTRY |
| Practice Address |
3737 Moraga Ave Ste B307 San Diego CA 92117-5360 |
| Practice Telephone | (858) 412-5397 |
| Mailing Telephone | 8584125397 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |
| Authorized Official Name | DR. GILBERT AMTHOR (OWNER) |
| Authorized Official Telephone | 8584125397 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
36725 | CA | Ambulatory Health Care Facilities |
| Street Address |
3737 MORAGA AVE STE B307 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92117-5360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1568956050 | Lourdes C Villagran | Case Manager/Care Coordinator | 4474 Charger Blvd, San Diego, CA 92117 | 2018-06-18 |
| 1750893509 | Dzendzel Family Chiropractic | Chiropractor | 3650 Clairemont Drive, Ste 2, San Diego, CA 92117 | 2017-11-02 |
| 1205355401 | Alan Ford | Counselor | 4150 Ute Dr., San Diego, CA 92117 | 2017-09-19 |
| 1780101238 | Allison Dawn Heeney | Occupational Therapist | 3386 Hopi Place, San Diego, CA 92117 | 2017-08-25 |
| 1275074379 | Rachel Gabrielle Packer | Counselor | 5252 Balboa Ave Ste 801, San Diego, CA 92117 | 2017-03-09 |
| 1316482995 | Lisa Graff-marsh, Inc. | Social Worker | 4985 Park Rim Dr., San Diego, CA 92117 | 2017-01-05 |
| 1417408949 | Markos and Markos 1 Inc | Private Vehicle | 4495 Clairemont Mesa Blvd, San Diego, CA 92117 | 2016-10-19 |
| 1801341813 | Huynh and Habashi Dental Corporation | Dentist | 2995 Clairemont Dr, Suite A, San Diego, CA 92117 | 2016-08-19 |
| 1184076077 | Tammy Monck | Optometrist | 3952 Clairemont Mesa Blvd Ste I, San Diego, CA 92117 | 2016-07-05 |
| Find all providers in zip 92117 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776812 | Andy L. Tieu Dds Inc. | Clinic/Center | 10549 Scripps Poway Pkwy Ste I, San Diego, CA 92131-3963 | 2020-07-01 |
| 1851925481 | Santos Salsbury Dental Corporation | Clinic/Center | 6699 Alvarado Rd Ste 2202, San Diego, CA 92120-5293 | 2020-02-22 |
| 1194365015 | Valadez Dental Corp | Clinic/Center | 2650 Camino Del Rio N Ste 102, San Diego, CA 92108-1630 | 2020-01-08 |
| 1619434065 | Marco Savittieri, Dds., Inc. | Clinic/Center | 12613 El Camino Real Unit A, San Diego, CA 92130-4077 | 2019-02-21 |
| 1760977516 | Jeremy Walker Dental Corporation | Clinic/Center | 3330 3rd Ave Ste 302, San Diego, CA 92103-5639 | 2018-06-25 |
| 1235629502 | Ricardo Peralta Dds Inc | Clinic/Center | 9855 Erma Rd Ste 103, San Diego, CA 92131-1007 | 2018-05-12 |
| 1326535576 | Ryan Wallrich Dmd, PC | Clinic/Center | 1310 Rosecrans St Ste B, San Diego, CA 92106-4609 | 2018-04-13 |
| 1356847438 | Arvinda Reddy Kunduru, Dds Inc. | Clinic/Center | 5440 Morehouse Dr Ste 1800, San Diego, CA 92121-6705 | 2018-04-05 |
| 1447767447 | Florabel F. Oliver-badillo Dmd, Inc. | Clinic/Center | 10717 Camino Ruiz Ste 122, San Diego, CA 92126-2362 | 2017-12-29 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 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.