GRISELDA GONZALEZ GRANADOS (NPI# 1356891329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356891329 |
| Entity Type | Organization |
| Organization Name | GRISELDA GONZALEZ GRANADOS |
| Other Organization Name | GRISELDA GONZALEZ GRANADOS |
| Practice Address |
4275 Executive Sq Ste 200 La Jolla CA 92037-1476 |
| Mailing Address |
Ave. Juan De La Barrera # 610 Col. Prohogar Mexicali BAJA CALIFORNIA 21240 MX |
| Practice Telephone | 8007433900 |
| Mailing Telephone | 011526865656591 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |
| Authorized Official Name | DR. GRISELDA GONZALEZ GRANADOS (DENTIAT) |
| Authorized Official Telephone | 8007433900 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2172627 | ZZ | Dental Providers |
| Other Name | Type Code |
|---|---|
| Griselda Gonzalez Granados | Doing Business As Name - Organization |
| Street Address |
4275 EXECUTIVE SQ STE 200 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518136241 | Flagstaff Neurology | Psychiatry & Neurology | 4275 Executive Sq Ste 200, La Jolla, CA 92037-1476 | 2008-02-27 |
| 1912402074 | Milan Dental | Dentist | 4275 Executive Sq Ste 200, La Jolla, CA 92037-1476 | 2018-03-29 |
| 1851895775 | Kalimah Amenra | Counselor | 4275 Executive Sq Ste 200, La Jolla, CA 92037-1476 | 2018-03-23 |
| 1114271665 | Southern California Neurology and Psychiatry | Psychiatry & Neurology | 4275 Executive Sq Ste 200, La Jolla, CA 92037-1476 | 2012-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| 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 |
|---|---|---|---|---|
| 1023501210 | Carli Simone Katz | Dentist | 2702 Bordeaux Ave, La Jolla, CA 92037-2030 | 2018-06-12 |
| 1023569662 | Harmony Dental Group | Dentist | 8950 Villa La Jolla Dr. #b101, La Jolla, CA 92037 | 2016-10-19 |
| 1598210932 | Sophia Julia Majeed | Dentist | 8657 Villa La Jolla Dr Ste 211, La Jolla, CA 92037-8309 | 2016-08-15 |
| 1871977744 | Ayman Naser | Dentist | 7855 Fay Ave Ste 260, La Jolla, CA 92037-4266 | 2015-07-10 |
| 1467841163 | Tiki Lam | Dentist | 7334 Girard Ave Ste 102, La Jolla, CA 92037 | 2015-01-19 |
| 1184023913 | Darryl Abramson | Dentist | 9850 Genesee Ave Ste 200, La Jolla, CA 92037-1206 | 2014-08-18 |
| 1851730071 | Sudharma Najimudeen | Dentist | 7509 Draper Ave, Suite B, La Jolla, CA 92037-4862 | 2013-06-20 |
| 1265783963 | Charles W Briscoe | Dentist | 7737 Herschel Ave, La Jolla, CA 92037-4406 | 2012-09-21 |
| 1265701072 | Richard Warren Layton | Dentist | 7164 Eads Ave, La Jolla, CA 92037-5454 | 2011-12-22 |
| 1982918140 | Babak Ariannejad | Dentist | 6417 Caminito Formby, La Jolla, CA 92037-5811 | 2010-07-29 |
| Find all providers in LA JOLLA | ||||
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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.