BECERRA DENTAL CORPORATION (NPI# 1275054611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275054611 |
| Entity Type | Organization |
| Organization Name | BECERRA DENTAL CORPORATION |
| Other Organization Name | BECERRA DENTAL STUDIO |
| Practice Address |
471 Stonewood St # 471 Downey CA 90241-3919 |
| Practice Telephone | 5629044800 |
| Practice Fax Number | 5629044811 |
| Mailing Telephone | 5624848704 |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2017-10-26 |
| Authorized Official Name | FERNANDO BECERRA (OWNER) |
| Authorized Official Telephone | 5629044800 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Becerra Dental Studio | Doing Business As Name - Organization |
| Street Address |
471 STONEWOOD ST # 471 |
| City | DOWNEY |
| State | CA |
| Zip Code | 90241-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029005 | Adam Lyle Barnhardt | Counselor | 11500 Paramont Blvd., Downey, CA 90241 | 2020-10-05 |
| 1922630482 | Betzabeth Benitez Perez | Counselor | Scadp, 11500 Paramount Blvd., Downey, CA 90241 | 2020-02-12 |
| 1457858714 | Diane Padre-gozun | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2018-04-12 |
| 1295233963 | Community Family Guidance Center | Community/Behavioral Health | 12330 Woodruff Ave, Downey, CA 90241 | 2018-01-29 |
| 1487167433 | Progressive Medical Associates | Health Maintenance Organization | 6611 Seville Avenue, Huntington Park, CA 90241 | 2017-11-13 |
| 1194236018 | Dental Office of Downey Inc. | Clinic/Center | 10917 Paramounth Blvd, Downey, CA 90241 | 2017-10-18 |
| 1376063933 | Sophea Tim | Pharmacist | 11525 Brookshire Avenue Suite 400, Downey, CA 90241 | 2017-06-26 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| 1053844043 | Stephen Nealon Berberich | Internal Medicine | 1544 Downey Ave, Downey, CA 90241 | 2017-04-06 |
| 1225424187 | Davis Huang | Internal Medicine | 11500 Brookshire Ave., Downey, CA 90241 | 2015-04-07 |
| Find all providers in zip 90241 | ||||
| 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 |
|---|---|---|---|---|
| 1194347187 | Esthella Nallelie Flores | Dentist | 9325 Rives Ave, Downey, CA 90240-2659 | 2020-05-12 |
| 1770057028 | Ganji Dds PC | Dentist | 7825 Florence Ave Ste B, Downey, CA 90240-3976 | 2019-01-18 |
| 1275072803 | Feizbakhsh-khorsandi Partnership | Dentist | 8515 Florence Ave Ste 200, Downey, CA 90240-4043 | 2017-02-15 |
| 1306382999 | Guillermo Salvador Castillo Professional Dental Corp | Dentist | 7359 Florence Ave, Downey, CA 90240-3606 | 2017-01-06 |
| 1740647916 | Zita Alejandra Dominicis | Dentist | 8202 Florence Ave Ste 101, Downey, CA 90240-3937 | 2016-01-19 |
| 1346651171 | Jeffrey Funk | Dentist | 10558 Paramount Blvd, Downey, CA 90241-2405 | 2014-05-14 |
| 1942642855 | Jung Jin Leeyoon Inc | Dentist | 10800 Paramount Blvd #207, Downey, CA 90241-3331 | 2013-07-19 |
| 1033457635 | Shorouq Sahawneh | Dentist | 8612 Firestone Blvd, Downey, CA 90241 | 2013-01-17 |
| 1962749523 | Ligia I. Blanco Dds. Inc. | Dentist | 8018 Stewart and Gray Rd, Downey, CA 90241 | 2013-01-15 |
| 1306108410 | Jonah Park | Dentist | 7840 Firestone Blvd Ste 106, Downey, CA 90241-4257 | 2012-06-13 |
| Find all providers in DOWNEY | ||||
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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.