DIANA CORREAVELOSA DDS INC (NPI# 1104381110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104381110 |
| Entity Type | Organization |
| Organization Name | DIANA CORREAVELOSA DDS INC |
| Practice Address |
7614 N Fresno St Ste 105 Fresno CA 93720-7406 |
| Practice Telephone | 5594353344 |
| Practice Fax Number | 5594356658 |
| Mailing Telephone | 5594353344 |
| Mailing Fax Number | 5594356658 |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |
| Authorized Official Name | DIEGO F VELOSA (DIRECTOR) |
| Authorized Official Telephone | 5594353444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Crystal Dental of Fresno | Doing Business As Name - Organization |
| Street Address |
7614 N FRESNO ST STE 105 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-7406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| 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 |
|---|---|---|---|---|
| 1932715711 | Jesse Rosete | Dentist | 7125 N Chestnut Ave Ste 107, Fresno, CA 93720-0358 | 2020-09-17 |
| 1609403500 | Lindsay S Takeda Dds Inc | Dentist | 1394 E Alluvial Ave Ste 104, Fresno, CA 93720-2696 | 2020-03-23 |
| 1144788910 | Ravinder Kaur | Dentist | 2676 N Cecelia Ave, Fresno, CA 93722-6866 | 2019-03-11 |
| 1396209821 | Ehsan Diab Dental Company Inc. | Dentist | 1665 W Shaw Ave Ste 103, Fresno, CA 93711-3508 | 2019-01-29 |
| 1174094734 | Mohammed Shafayetul Islam | Dentist | 2610 E Nees Ave Apt 133, Fresno, CA 93720-6016 | 2018-12-07 |
| 1073023172 | Jungsuk Suh | Dentist | 4747 N 1st St Ste 174, Fresno, CA 93726-0517 | 2017-10-03 |
| 1033632435 | Laine Alise Janzen | Dentist | 7730 N Fresno St Ste 101, Fresno, CA 93720-2408 | 2017-07-18 |
| 1710416847 | Leticia D Ramirez | Dentist | 3248 E Shields Ave Ste B, Fresno, CA 93726-6915 | 2017-06-12 |
| 1679008262 | Raymond M Cheung | Dentist | 7770 N Fresno St Ste 105, Fresno, CA 93720 | 2017-04-21 |
| 1790216760 | Cherag Dinshaw Sarkari Dds A Dental Corporation | Dentist | 5776 N Blackstone Ave, Ste 104 & 105, Fresno, CA 93710-5026 | 2017-03-22 |
| Find all providers in FRESNO | ||||
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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.