APPLE TREE DENTAL CALIFORNIA, LLC (NPI# 1205228830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205228830 |
| Entity Type | Organization |
| Organization Name | APPLE TREE DENTAL CALIFORNIA, LLC |
| Practice Address |
430 N El Camino Real San Mateo CA 94401-3710 |
| Mailing Address |
8960 Springbrook Dr Nw Site 150 Minneapolis MN 55433-5852 |
| Practice Telephone | 7636006896 |
| Practice Fax Number | 7637858960 |
| Mailing Telephone | 7637847993 |
| Mailing Fax Number | 7637858960 |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |
| Authorized Official Name | DR. MICHAEL J HELGESON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7636006834 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | APPLE TREE DENTAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
430 N EL CAMINO REAL |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-3710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699189431 | Judyth Grace Lee | Dentist | 430 N El Camino Real, San Mateo, CA 94401 | 2014-06-19 |
| 1144604000 | Christian Brennan | Dental Hygienist | 430 N El Camino Real, San Mateo, CA 94401-3710 | 2015-07-09 |
| 1427431618 | Kimberly Adams | Dental Hygienist | 430 N El Camino Real, San Mateo, CA 94401-3710 | 2015-07-07 |
| 1639550445 | Elizabeth Newell | Dental Hygienist | 430 N El Camino Real, San Mateo, CA 94401-3710 | 2015-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075350 | Xuyu Zhang, Dds, Inc | Clinic/Center | 406 N San Mateo Dr Ste B, San Mateo, CA 94401-2418 | 2020-02-18 |
| 1437587078 | Jane Vu Ferrera Dds | Clinic/Center | 341 N San Mateo Dr Ste 1, San Mateo, CA 94401-2513 | 2013-10-17 |
| 1275908253 | Nazareth Dental | Clinic/Center | 800 S B St Ste 200, San Mateo, CA 94401-4273 | 2015-12-02 |
| 1578638904 | San Mateo Medical Center | Clinic/Center | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on APPLE TREE DENTAL CALIFORNIA, LLC.
| 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.