DR. CHARLES ANTHONY MASTROVICH (NPI# 1134277486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134277486 |
| Entity Type | Individual |
| Full Name | DR. CHARLES ANTHONY MASTROVICH |
| Credential | DDS |
| Practice Address |
911 E Grand Ave Escondido CA 92025-3434 |
| Practice Telephone | 7607416650 |
| Practice Fax Number | 7607462008 |
| Mailing Telephone | 7607416650 |
| Mailing Fax Number | 7607462008 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2014-03-28 |
| NPI Deactivation Date | 03/17/2008 |
| NPI Reactivation Date | 2014-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 26090 | CA | Dental Providers |
| Street Address |
911 E GRAND AVE |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-3434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558673483 | Michael S Singer | Dentist | 911 E Grand Ave, Escondido, CA 92025-3403 | 2010-07-08 |
| 1710155973 | Charles A Mastrovich, Dds, Apc | Dentist | 911 E Grand Ave, Escondido, CA 92025-3434 | 2008-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095547 | Gca Ashmore Dental Corp | Dentist | 1310 E Valley Pkwy Ste A, Escondido, CA 92027-2341 | 2019-10-22 |
| 1114568326 | Ghazinoor Dds Prof.corp | Dentist | 1711 E Valley Pkwy Ste 110, Escondido, CA 92027-2521 | 2019-09-30 |
| 1164946356 | Samuel Sauza Jr. | Dentist | 431 W 13th Ave Ste C, Escondido, CA 92025-5739 | 2017-07-28 |
| 1871049205 | Daisy Fresh Dental Inc | Dentist | 560 E Valley Pkwy, Escondido, CA 92025-3006 | 2016-08-26 |
| 1104279686 | Sukhman Panag | Dentist | 1340 W Valley Pkwy Ste 105e, Escondido, CA 92029-2135 | 2016-07-19 |
| 1346694767 | Stewart Whang | Dentist | 2319 E Valley Pkwy, Suite E, Escondido, CA 92027-2794 | 2016-04-21 |
| 1124491121 | Charles C. Lee Dds, Inc | Dentist | 901 E Ohio Ave, Escondido, CA 92025-3422 | 2015-11-12 |
| 1073998845 | Sahawneh Dental Corporation | Dentist | 1286b Auto Park Way, Escondido, CA 92029-2232 | 2015-07-22 |
| 1366836645 | Rose Dental Group | Dentist | 430 N Rose St, Escondido, CA 92027-2402 | 2015-03-24 |
| 1962892919 | Joshua Weinberger | Dentist | 301 W Vermont Ave Apt 713, Escondido, CA 92025-6568 | 2015-01-29 |
| Find all providers in ESCONDIDO | ||||
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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.