JORN N OLIMPIADA


Address: 15401 Hesperian Blvd Ste F, San Leandro, CA 94578-3900
Phone: 5103179439

JORN N OLIMPIADA (NPI# 1528214228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528214228
Entity Type Individual
Full Name JORN N OLIMPIADA
Credential D.D.S.
Practice Address 15401 Hesperian Blvd Ste F
San Leandro
CA 94578-3900
Practice Telephone 5103179439
Mailing Telephone 5103179439
Enumeration Date 2008-08-13
Last Update Date 2008-08-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
47542 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA D47542 05

Office Location

Street Address 15401 HESPERIAN BLVD STE F
City SAN LEANDRO
State CA
Zip Code 94578-3900

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1952886327 Keyla Itzel Monroy Rodriguez Behavioral Analyst 900 143rd Ave, Apt 269, San Leandro, CA 94578 2018-10-01
1962938340 Shaylah Rigmaiden Counselor 3847 E14th St, #215, San Leandro, CA 94578 2017-05-04
1861864449 Laurence Tang Pharmacist 13847 E. 14th Street, San Leandro, CA 94578 2015-10-22
1902227481 Marissa Phan Pharmacist 15555 E. 14th Street #400, San Leandro, CA 94578 2013-12-30
1629403993 Carly Renee Lucas Counselor 2257 Arlington Dr., San Leandro, CA 94578 2013-09-05
1871933317 Javier Huerta Counselor 16335 E. 14th St, San Leandro, CA 94578 2013-06-28
1710231717 Farida M Ismail Non-emergency Medical Transport (VAN) 1601 165th Ave, 107, San Leandro, CA 94578 2012-10-30
1487901989 Amanda Dupuis Counselor 15942 Footlhill Blvd, San Leandro, CA 94578 2012-08-14
1629323506 Mei Xiu Chua Counselor 13666 East 14th Street, San Leandro, CA 94578 2012-07-17
1730445644 Nisreen Mesiwala Kothari Ophthalmology 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 2012-04-04
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538795067 Ryan C Woo Dental Corporation Dentist 433 Estudillo Ave Ste 107, San Leandro, CA 94577-4915 2020-03-16
1174079370 Ngan Kim Tran Dentist 1513 Hickory Ave, San Leandro, CA 94579 2016-08-28
1235413600 Torres Dental Inc Dentist 579 Floresta Blvd, Ste D, San Leandro, CA 94578-4106 2011-10-04
1194023317 Gary G Jeong Dentist 362 Joaquin Ave, San Leandro, CA 94577-4712 2011-03-11
1821322199 Robert Israel Dentist 502 Estudillo Ave, San Leandro, CA 94577-4612 2009-09-19
1457582355 Kenneth Ochoa Torres Dentist 579 Floresta Blvd Ste D, San Leandro, CA 94578-4124 2009-07-27
1942474218 Stanley E Franson Dentist 505 Estudillo Ave Ste A, San Leandro, CA 94577-4611 2008-04-17
1689845380 Vicente Laico David Jr. Dentist 148 Best Ave, San Leandro, CA 94577-2704 2008-03-20
1255512174 Victor Drabkin Dentist 536 Estudillo Ave, San Leandro, CA 94577-4612 2007-11-20
1194911487 Kara Shirley Yu Dentist 15202 Shining Star Ln, San Leandro, CA 94579-1972 2007-09-20
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Competitor

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City SAN LEANDRO
Zip Code 94578

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Dataset Information

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.

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