JOHNNY K MA DDS PROFESSIONAL DENTAL CORP (NPI# 1366886897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366886897 |
Entity Type | Organization |
Organization Name | JOHNNY K MA DDS PROFESSIONAL DENTAL CORP |
Other Organization Name | CHINO VALLEY PEDIATRIC DENTISTRY |
Practice Address |
13768 Roswell Ave Suite # 221 Chino CA 91710-1401 |
Practice Telephone | 9095486828 |
Mailing Telephone | 9095486828 |
Enumeration Date | 2013-04-26 |
Last Update Date | 2013-04-26 |
Authorized Official Name | DR. JOHNNY K MA (PRESIDENT) |
Authorized Official Telephone | 9095486828 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
51855 | CA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Chino Valley Pediatric Dentistry | Doing Business As Name - Organization |
Street Address |
13768 ROSWELL AVE SUITE # 221 |
City | CHINO |
State | CA |
Zip Code | 91710-1401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235135518 | Yolanda T Grady | Family Medicine | 13768 Roswell Ave, Suite 202, Chino, CA 91710-1401 | 2005-06-22 |
1225573454 | Bettina Ho | Physician Assistant | 13768 Roswell Ave, Suite 118, Chino, CA 91710-1401 | 2016-12-25 |
1356884639 | Adam Elevario | Physician Assistant | 13768 Roswell Ave, Suite 118, Chino, CA 91710-1401 | 2016-11-18 |
1174976559 | Ivy Tuason | Nurse Practitioner | 13768 Roswell Ave, Chino, CA 91710-1401 | 2016-07-20 |
1538513650 | Barbara Chang | Chiropractor | 13768 Roswell Ave, Suite 207, Chino, CA 91710-1401 | 2016-04-14 |
1144682519 | Intercommunity Oncology of Chino Hills Apc Inc | Internal Medicine | 13768 Roswell Ave, 105, Chino, CA 91710-1401 | 2016-03-24 |
1457791485 | Elite Fertility Center | Obstetrics & Gynecology | 13768 Roswell Ave, Suite 207, Chino, CA 91710-1401 | 2013-07-05 |
1417392523 | Alana Harrison | Surgery | 13768 Roswell Ave, Suite 218, Chino, CA 91710 | 2013-05-02 |
1730522822 | Ester Torres Quito | Nurse Practitioner | 13768 Roswell Ave, Suite 109, Chino, CA 91710-1401 | 2013-04-09 |
1003154428 | Neeru Kaur Gaetano | Physician Assistant | 13768 Roswell Ave, Suite 216, Chino, CA 91710-1401 | 2013-01-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
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1962037887 | Corrections and Rehabilitation | Pharmacy | 14901 So Central Avenue, Chino, CA 91710 | 2020-03-11 |
1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
1982170510 | Kind Care Connections, LLC | In Home Supportive Care | 14726 Ramona Ave # E10, Chino, CA 91710 | 2018-10-22 |
1922593789 | Christopher Armando Camarena | Assistant Behavior Analyst | 6062 Eucalyptus Ave, Chino, CA 91710 | 2018-06-25 |
1730696519 | Barsoum Dental Corp | Dentist | 14613 Ramona Ave, Chino, CA 91710 | 2018-01-03 |
1326569864 | Christina La | Optometrist | 5250 Philadelphia St Ste D, Chino, CA 91710 | 2017-07-06 |
1629502554 | Jk Pharmacy Inc | Pharmacy | 5562 Philadelphia St, #110, Chino, CA 91710 | 2017-04-18 |
1801336680 | Altek Drugs Inc. | Pharmacy | 13085 Central Ave Ste 2, Chino, CA 91710 | 2017-02-28 |
1518405893 | Audrey Ronquillo | Behavior Technician | 800 Ferrari Ln, Suite 100, Ontario, CA 91710 | 2017-02-07 |
1952849556 | Jennifer Huynh | Behavior Technician | 800 Ferrari Ln Suite 100, Ontario, CA 91710 | 2017-02-03 |
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Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578193918 | Pomona Community Health Center | Clinic/Center | 5585 Riverside Dr, Chino, CA 91710-4320 | 2020-01-24 |
1922580992 | N Ozder Dental Practice Inc | Clinic/Center | 12233 Central Ave, Chino, CA 91710-2423 | 2018-09-05 |
1558884627 | Bijal Joshi Dds Inc | Clinic/Center | 12555 Central Ave Ste B, Chino, CA 91710-3569 | 2017-07-20 |
1285183194 | Fenny Virgin, Dds, Inc. | Clinic/Center | 4036 Grand Ave, Suite D, Chino, CA 91710-5487 | 2016-10-04 |
1932554540 | Value Dental Centers Chino Ca - R J Houchin Dental Practice Inc | Clinic/Center | 3943 Grand Ave, Chino, CA 91710-5440 | 2016-05-02 |
1205297413 | Silverina Chua, Dds Inc | Clinic/Center | 14683 Ramona Ave, Chino, CA 91710-5648 | 2016-03-15 |
1023495876 | Ronald C Abaro Dental Corp | Clinic/Center | 12194 Central Ave, Chino, CA 91710-2420 | 2015-04-30 |
1104008721 | Allen Dental Corportation | Clinic/Center | 3686 Riverside Dr, Ste G, Chino, CA 91710-2979 | 2007-12-05 |
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 |
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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.