MARIO PURECO (NPI# 1194957969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194957969 |
| Entity Type | Individual |
| Full Name | MARIO PURECO |
| Credential | D.D.S |
| Practice Address |
1541 S Garey Ave Pomona CA 91766-5222 |
| Practice Telephone | 9094696485 |
| Mailing Telephone | 9094696485 |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2019-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
58625 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 485 E Foothill Blvd, Upland, CA 917863987 | 9092560090 | 9092560092 |
| Street Address |
1541 S GAREY AVE |
| City | POMONA |
| State | CA |
| Zip Code | 91766-5222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356690184 | Mario Pureco, D.d.s.,inc. | Dentist | 1541 S Garey Ave, Pomona, CA 91766-5222 | 2012-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999494 | Justine Arce | Massage Therapist | 2063 Rancho Valley Drive Suite 320 #208, Pomona, CA 91766 | 2020-10-15 |
| 1699287938 | Monika Stephanie Wan | Pharmacist | 710 Rio Rancho Road, Pomona, CA 91766 | 2017-10-26 |
| 1306386966 | Teresa Le | Dentist | 1898 Wright St, Pomona, CA 91766 | 2017-03-02 |
| 1770971715 | Hanzel Mendez | Physical Therapist | 1080 Verbena Court, Pomona, CA 91766 | 2014-12-29 |
| 1902223589 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3 Cottontail Dr, Pomona, CA 91766 | 2014-03-21 |
| 1487075578 | Fenix Health Medical Group, Inc. | Family Medicine | 716 East Mission Blvd., Pomona, CA 91766 | 2013-12-17 |
| 1134556012 | Imperial Hospice, Inc. | Hospice Care, Community Based | 363 S Park Ave Ste 105, Pomona, CA 91766 | 2013-10-08 |
| 1497196349 | Cohen Sedgh, Manavi & Pakravan Dental Corporation | Dentist | 763 Rio Rancho Road Suite120, Pomona, CA 91766 | 2013-07-08 |
| 1245573567 | Terry Chang | Acupuncturist | 3060 W. Temple Ave., Pomona, CA 91766 | 2013-04-04 |
| 1215271085 | Emmanuel Castro | Counselor | 4 Village Loop, Phillips Ranch, CA 91766 | 2012-11-19 |
| Find all providers in zip 91766 | ||||
| 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 |
|---|---|---|---|---|
| 1295386720 | Diana Kim Dds A Dental Corporation | Dentist | 117 W Willow St Ste A, Pomona, CA 91768-1829 | 2019-09-25 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1447484076 | Martinez & Zermeno II A Professinal Dental Corporation | Dentist | 1549 E Holt Ave, Pomona, CA 91767-5823 | 2009-05-11 |
| 1932341195 | Pomona Family Dental Practice | Dentist | 1021 E Holt Ave, Pomona, CA 91761-5720 | 2009-04-01 |
| 1861632010 | Armen Mardirosian | Dentist | 180 E Mission Blvd Suite A, Pomona, CA 91766 | 2009-03-01 |
| 1881842292 | Su Dentista De Confianza Dental Office | Dentist | 2127 N Towne Ave, Pomona, CA 91767-2422 | 2008-08-28 |
| 1003072141 | Miro Itskovich, Dds Inc. | Dentist | 847 Philadelphia St., Pomona, CA 91766-5714 | 2008-07-29 |
| 1285899443 | St Moises Dental | Dentist | 12 Rancho Camino Dr Ste 102, Pomona, CA 91766-7008 | 2008-07-26 |
| 1760642201 | Foster Jr, Charles L, Dds Inc | Dentist | 243 E Mission Blvd, Pomona, CA 91766-1846 | 2008-06-09 |
| 1144405226 | Universal Dental Group,inc | Dentist | 667 N Indian Hill Blvd, Pomona, CA 91767 | 2008-01-08 |
| Find all providers in POMONA | ||||
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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.