WESTERN DENTAL SERVICES, INC (NPI# 1154677763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154677763 |
| Entity Type | Organization |
| Organization Name | WESTERN DENTAL SERVICES, INC |
| Practice Address |
4100 S El Camino Real San Mateo CA 94403-5131 |
| Mailing Address |
530 S Main St Orange CA 92868-4525 |
| Practice Telephone | 6502351460 |
| Practice Fax Number | 6502351469 |
| Mailing Telephone | 7144803000 |
| Mailing Fax Number | 7145716445 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |
| Authorized Official Name | SILVIA DIAZ (PPO COORDINATOR) |
| Authorized Official Telephone | 7144803000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G92150- | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952727281 | Western Dental Services, Inc | Dentist | 2200 W Beverly Blvd Ste 400, Montebello, CA 90640-2302 | 2014-03-11 |
| 1235563495 | Western Dental Services, Inc | Dentist | 730 Woollomes Ave, Suite 101-102, Delano, CA 93215-9550 | 2013-08-23 |
| 1639467061 | Western Dental Services, Inc | Dentist | 780 1st St, Gilroy, CA 95020-4972 | 2011-07-19 |
| 1912298431 | Western Dental Services, Inc | Dentist | 1310 Churn Creek Rd, Suite E3 - E4, Redding, CA 96003-4004 | 2011-05-02 |
| 1295025898 | Western Dental Services, Inc | Dentist | 1110 S King Rd, Suite 60, San Jose, CA 95122-2118 | 2011-04-15 |
| 1205004124 | Western Dental Services, Inc | Dentist | 19071 Bear Valley Rd., Suite #1, Apple Valley, CA 92308-6709 | 2008-02-13 |
| 1811186463 | Western Dental Services, Inc | Dentist | 1560 W Lacey Blvd Ste 107, Hanford, CA 93230-3587 | 2007-10-19 |
| 1710266887 | Western Dental Services, Inc | Dentist | 1260 Trancas St, Napa, CA 94558-2910 | 2011-08-08 |
| 1871883090 | Western Dental Services, Inc | Dentist | 4242 Beverly Blvd, Los Angeles, CA 90004-4430 | 2011-04-08 |
| Street Address |
4100 S EL CAMINO REAL |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-5131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992720700 | Graham Beaumont | Psychiatry & Neurology | 4100 S El Camino Real, San Mateo, CA 94403-5131 | 2006-07-13 |
| 1144785189 | Neha Yadav | Dentist | 4100 S El Camino Real, San Mateo, CA 94403-5131 | 2019-02-04 |
| 1225506884 | Ashita Sinha | Dentist | 4100 S El Camino Real, San Mateo, CA 94403-5131 | 2018-11-12 |
| 1376099671 | Prerna Vinod Vijan | Dentist | 4100 S El Camino Real, San Mateo, CA 94403-5131 | 2016-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520903 | Happy Enerqi LLC | Acupuncturist | 5 43rd Ave, San Mateo, CA 94403 | 2019-10-21 |
| 1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
| 1861056426 | Denise Gaytan | Licensed Vocational Nurse | 2600 El Camino, San Mateo, CA 94403 | 2019-04-29 |
| 1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
| 1467965392 | Happyqi Inc | Acupuncturist | 5 43rd Ave., San Mateo, CA 94403 | 2017-11-14 |
| 1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
| 1477009033 | Latifunisa Lilani | Community Health Worker | 2600 El Camino Real, San Mateo, CA 94403 | 2016-09-01 |
| 1881029874 | Juan Carlos Friesen | Licensed Vocational Nurse | 2600 S. El Camino, Suite #200, San Mateo, CA 94403 | 2013-09-09 |
| 1619300423 | Emily Rodda | Nurse Practitioner | 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 | 2013-08-15 |
| 1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
| Find all providers in zip 94403 | ||||
| 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 |
|---|---|---|---|---|
| 1205394863 | Sarah Grace Winters | Dentist | 324 N San Mateo Dr Ste 3, San Mateo, CA 94401-2999 | 2019-03-03 |
| 1407333537 | Lily Yao | Dentist | 2072 Timberlane Way, San Mateo, CA 94402-3937 | 2018-07-21 |
| 1356871370 | Ashamani Kode | Dentist | 416 Villa Ter Apt 1, San Mateo, CA 94401-5329 | 2017-06-13 |
| 1225574361 | Codington LLC | Dentist | 424 N San Mateo Dr Ste 300, San Mateo, CA 94401-2492 | 2017-01-12 |
| 1023564184 | Ryan Courtin | Dentist | 36 N San Mateo Dr Ste B, San Mateo, CA 94401-4523 | 2016-08-29 |
| 1720462138 | Vafi Ahani Dental Corp | Dentist | 150 N San Mateo Dr, San Mateo, CA 94401-2761 | 2015-07-15 |
| 1710367651 | Lerida Lipumano-picazo Dmd,a Professional Corporation | Dentist | 1415 S El Camino Real Ste 2, San Mateo, CA 94402-3019 | 2015-06-05 |
| 1760812119 | D. Kundra D.d.s. Inc | Dentist | 70 N El Camino Real, Suite B, San Mateo, CA 94401-7500 | 2013-11-22 |
| 1417385006 | Nazareth Plaza Dental Group | Dentist | 800 S B St Ste 200, San Mateo, CA 94401-4273 | 2013-10-17 |
| 1437594595 | David M Hayashi | Dentist | 327 N. San Mateo Dr #4, San Mateo, CA 94401-2585 | 2013-05-02 |
| Find all providers in SAN MATEO | ||||
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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.