DR. ANDRES FELIPE CASALLAS (NPI# 1518576461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518576461 |
| Entity Type | Individual |
| Full Name | DR. ANDRES FELIPE CASALLAS |
| Credential | DDS |
| Practice Address |
949 Palm Ave Imperial Beach CA 91932-1503 |
| Mailing Address |
9229 Regents Rd Unit 216 La Jolla CA 92037-9272 |
| Practice Telephone | 6194293733 |
| Mailing Telephone | 5107549754 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
105112 | CA | Dental Providers |
| Street Address |
949 PALM AVE |
| City | IMPERIAL BEACH |
| State | CA |
| Zip Code | 91932-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467425587 | Donna Michelle Plourd | Nurse Practitioner | 949 Palm Ave, Imperial Beach, CA 91932-1503 | 2006-02-09 |
| 1851946016 | Arthur Roehr | Nurse Practitioner | 949 Palm Ave, Imperial Beach, CA 91932-1503 | 2019-08-05 |
| 1770055543 | Claudia Gonzalez | Social Worker | 949 Palm Ave, Imperial Beach, CA 91932-1503 | 2018-12-18 |
| 1356841506 | Heather Ann Roberts Calzada | Nurse Practitioner | 949 Palm Ave, Imperial Beach, CA 91932-1503 | 2018-02-14 |
| 1649720756 | Francesca O'brien | Nurse Practitioner | 949 Palm Ave, Imperial Beach, CA 91932-1503 | 2016-10-12 |
| 1912266503 | Sara Allen Griffin | Nurse Practitioner | 949 Palm Ave, Imperial Beach, CA 91932-1503 | 2012-05-16 |
| 1598024572 | Veronica Cardenas | Psychologist | 949 Palm Ave, Imperial Beach, CA 91932-1503 | 2012-05-10 |
| 1427287119 | Annie E Scott | Dietitian, Registered | 949 Palm Ave, Imperial Beach, CA 91932-1503 | 2009-07-02 |
| 1346432069 | Faith Pauline Chisum | Family Medicine | 949 Palm Ave, Imperial Beach, CA 91932-1503 | 2007-08-16 |
| 1720283211 | Fabiola Del Aguila | Psychologist | 949 Palm Ave, Imperial Beach, CA 91932 | 2007-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962994525 | Seacoast Behavior, LLC | Behavioral Analyst | 536 Shorebird Way, Imperial Beach, CA 91932 | 2018-05-30 |
| 1508363391 | M Mallempalli Professional Dental Corporation | Dentist | 600 Palm Ave., Suite#116, Imperial Beach, CA 91932 | 2018-04-09 |
| 1013440502 | Marice Angelic Dominguez | Respiratory Therapist, Registered | 1021 Elder Ave, Imperial Beach, CA 91932 | 2017-04-11 |
| 1003277856 | Samuel Wood | Registered Nurse | 803 Grove Ave, Imperial Beach, CA 91932 | 2016-03-08 |
| 1992033427 | Kathleen Helen Austin | Registered Nurse | 785 8th St, Imperial Beach, CA 91932 | 2009-11-20 |
| 1538365549 | Dorothy Mae Rumsey | Marriage & Family Therapist | 1237 East Lane, Imperial Beach, CA 91932 | 2007-06-26 |
| 1427062918 | Vernon Greg Phillips | Family Medicine | 707 Palm Ave, Imperial Beach, CA 91932 | 2006-07-28 |
| 1164489662 | Ralph Edwin Tuttle | Family Medicine | Comncwgruone, Nolf Ib Bldg 184, San Diego, CA 91932 | 2006-04-27 |
| 1154306231 | Solara Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 720 Hwy 75, Imperial Beach, CA 91932 | 2005-12-12 |
| 1720171507 | Eric John Leute | Family Medicine | 949 Palm Avenue, Imperial Beach Health Center, Imperial Beach, CA 91932 | 2006-10-02 |
| Find all providers in zip 91932 | ||||
| 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 |
|---|---|---|---|---|
| 1508363391 | M Mallempalli Professional Dental Corporation | Dentist | 600 Palm Ave., Suite#116, Imperial Beach, CA 91932 | 2018-04-09 |
| 1861534885 | Chris D Patton | Dentist | 1340 Imperial Beach Blvd, Suite 202, Imperial Beach, CA 91932-3046 | 2007-02-13 |
| 1205843133 | Steven Yee Luo | Dentist | 629 9th St, Imperial Beach, CA 91932-1508 | 2006-08-02 |
| 1407801830 | Arnel Reyes Mariano | Dentist | 743 Emory St, Suite A, Imperial Beach, CA 91932-2231 | 2006-05-24 |
| 1609398098 | Neeta Awasthi | Dentist | 629 9th St, Imperial Beach, CA 91932-1508 | 2017-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932141 | Jason T Garland | Dentist | 7892 Sitio Mirto, Carlsbad, CA 92009-6999 | 2020-11-05 |
| 1386245462 | Miller Skinner and Dastrup Dental Corporation of Madera | Dentist | 118 N A St, Madera, CA 93638-3210 | 2020-11-04 |
| 1912508177 | Adrian Acosta Dds A Professional Dental Corp | Dentist | 951 W. Whittier Blvd, La Habra, CA 90631-3743 | 2020-11-04 |
| 1871194175 | Lawrence G. Low Dds & Kenneth Y.k. Li Dds | Dentist | 229 Cajon St Ste 3, Redlands, CA 92373-5284 | 2020-11-03 |
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1083214282 | Sara Davidson, Dds, PC | Dentist | 176 Terra Vista Ave, San Francisco, CA 94115-3824 | 2020-10-27 |
| 1871192484 | David Moody Dental Corporation | Dentist | 19737 W Valley Blvd, Tehachapi, CA 93561-8601 | 2020-10-23 |
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1104425248 | Aditi Mehndiratta | Dentist | 17585 Vierra Canyon Rd, Prunedale, CA 93907-3312 | 2020-10-20 |
| 1346849452 | Lauren Gabrielle Alfonso Santos | Dentist | 4005 Manzanita Ave Ste 50, Carmichael, CA 95608-1784 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | IMPERIAL BEACH |
| Zip Code | 91932 |
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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.