MOBILIA DMD INC. (NPI# 1205212586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205212586 |
| Entity Type | Organization |
| Organization Name | MOBILIA DMD INC. |
| Other Organization Name | RANCHO BERNARDO COSMETIC AND FAMILY DENTAL |
| Practice Address |
12405 Rancho Bernardo Rd. San Diego CA 92128 |
| Mailing Address |
12405 Rancho Bernardo Rd San Diego CA 92128-2143 |
| Practice Telephone | 8583851838 |
| Practice Fax Number | 8583851882 |
| Mailing Telephone | 8583851838 |
| Mailing Fax Number | 8583851882 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |
| Authorized Official Name | DR. JOHN AUTHUR MOBILIA (OWNER) |
| Authorized Official Telephone | 8583851838 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 45924 | CA | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| rancho bernardo cosmetic and family dental | Doing Business As Name - Organization |
| Street Address |
12405 RANCHO BERNARDO RD. |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| 1730595570 | Charity Fluegge | Developmental Therapist | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128 | 2014-07-01 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1437338621 | Providence Community Services | Point of Service | 3635 Ruffin Rd Ste 100, San Diego, CA 92123-1853 | 2007-10-24 |
| 1821290511 | Tim Le Dds & Christopher Tong Dds | Point of Service | 9330 Mira Mesa Blvd Ste B, San Diego, CA 92126-4822 | 2007-06-04 |
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| 1427516681 | Klifford T Kapus Dds., Msd A Dental Corporation | Point of Service | 4200 East Ave Ste 100, Livermore, CA 94550-4945 | 2019-03-06 |
| 1821553850 | Reginald Washington | Point of Service | 2733 Lemon Grove Ave, Lemon Grove, CA 91945-2938 | 2019-02-04 |
| 1417432246 | Access Multilingual Services, Inc. | Point of Service | 11041 Santa Monica Blvd, #813, Los Angeles, CA 90025-3523 | 2018-09-27 |
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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.