L SWAYAMPRAKASAM DDS CORP (NPI# 1508359902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508359902 |
| Entity Type | Organization |
| Organization Name | L SWAYAMPRAKASAM DDS CORP |
| Other Organization Name | SEASIDE PERIO CENTRE |
| Practice Address |
1550 Lombard St San Francisco CA 94123-3154 |
| Mailing Address |
3680 Beacon Ave Apt B320 Fremont CA 94538-3033 |
| Practice Telephone | 6692457494 |
| Practice Fax Number | 6692650400 |
| Mailing Telephone | 2248770645 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |
| Authorized Official Name | LOGESH SWAYAMPRAKASAM (PRESIDENT) |
| Authorized Official Telephone | 2248770645 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
100140 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| SEASIDE PERIO CENTRE | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3465 Mckee Rd, San Jose, CA 951272233 | 6692457494 | 6692650400 |
| 43625 Mission Blvd Ste 105, Fremont, CA 945395800 | 6692457494 |
| Street Address |
1550 LOMBARD ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94123-3154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437611357 | Sarah Wenton Alexander | Occupational Therapist | 3007 Fillmore Street #3, San Francisco, CA 94123 | 2019-04-01 |
| 1306203138 | Cora Ann Keene | Marriage & Family Therapist | 1795 Union St, San Francisco, CA 94123 | 2016-01-25 |
| 1437556818 | Haley Alexander | Behavioral Analyst | 3750 Scott St Apt 205, San Francisco, CA 94123 | 2014-12-01 |
| 1992055040 | Robert J Buonfiglio | Psychologist | 1738 Union Street # 302, San Francisco, CA 94123 | 2012-09-17 |
| 1750656732 | Jane C Freston | Occupational Therapist | 1849 Chestnut Street, Apartment 4, San Francisco, CA 94123 | 2012-03-09 |
| 1700114212 | Marlene Ellen Kushner | Marriage & Family Therapist | 2918 Webster Street, San Francisco, CA 94123 | 2009-11-20 |
| 1487980447 | Acupuncture for Athletics | Acupuncturist | 1996 Union Street, 3rd Floor, San Francisco, CA 94123 | 2009-10-27 |
| 1104054436 | Sarah Elizabeth Bothe | Psychologist | 1738 Union Street, Suite 200, San Francisco, CA 94123 | 2009-06-25 |
| 1407099609 | Erika Cardamone | Speech-Language Pathologist | 2941 Gough St, 2, San Francisco, CA 94123 | 2009-04-17 |
| 1528216009 | Melissa Jeans Maglaque | Physical Therapist | 2065 Vallejo St Apt 3, San Francisco, CA 94123 | 2008-09-09 |
| Find all providers in zip 94123 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720427651 | Nicole Olivares | Dentist | 450 Sutter St Rm 1314, San Francisco, CA 94108-4002 | 2013-06-25 |
| 1578827226 | Jeff Takai | Dentist | 882 Presidio Ave, San Francisco, CA 94115-2921 | 2012-06-27 |
| 1356624175 | Sohyun Park | Dentist | 450 Sutter St Rm 2400, San Francisco, CA 94108-4203 | 2011-09-28 |
| 1114218153 | Joyce Yi-tzy Cheng | Dentist | 1356 3rd Ave, San Francisco, CA 94122-2719 | 2011-04-25 |
| 1376832337 | John Bigelow Hartman | Dentist | 685 Commercial St, San Francisco, CA 94111-2503 | 2011-03-30 |
| 1962720433 | Christina Gasper | Dentist | 450 Sutter St Rm 2336, San Francisco, CA 94108-4202 | 2010-05-09 |
| 1881856383 | Jung Sun Han | Dentist | 170 King St, Suite 105, San Francisco, CA 94107-1917 | 2008-06-26 |
| 1760682074 | Thomas Ridge Baker | Dentist | 450 Sutter St Rm 1935, San Francisco, CA 94108-4107 | 2007-07-24 |
| 1801095104 | Eric Engert | Dentist | 450 Sutter St Rm 2326, San Francisco, CA 94108-4202 | 2007-07-16 |
| 1124234141 | Craig Yutaka Yonemura | Dentist | 500 Sutter St Ste 808, San Francisco, CA 94102-1117 | 2007-05-15 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94123 |
Please comment or provide details below to improve the information on L SWAYAMPRAKASAM DDS CORP.
| 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.