DR. DAVID O MEDINA (NPI# 1558517342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558517342 |
| Entity Type | Individual |
| Full Name | DR. DAVID O MEDINA |
| Credential | DDS |
| Practice Address |
10925 Magnolia Ave Riverside CA 92505-3044 |
| Practice Telephone | 9519779991 |
| Practice Fax Number | 9515888552 |
| Mailing Telephone | 9519779991 |
| Mailing Fax Number | 9515888552 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2015-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 57425 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144521303 | David Antonio Medina | Chiropractor | 69 Hustonville St., Liberty, KY 42539 | 2010-11-04 |
| 1790273712 | David Roberto Medina | Physician Assistant | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2018-04-25 |
| 1568973824 | David Jose Medina | Specialist/Technologist | 33 N Krome Ave, Homestead, FL 33030-6014 | 2017-10-13 |
| 1598103962 | David Medina | Counselor | 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 | 2013-06-07 |
| 1518252568 | David J Medina | Psychologist | 11 Calle San Antonio, Rio Grande, PR 00745-3065 | 2011-06-17 |
| 1427371780 | David Medina | Pharmacist | 75 Nassau Terminal Rd, New Hyde Park, NY 11040-4927 | 2010-03-01 |
| 1588805824 | David Antonio Medina | Psychiatry & Neurology | 1836 Woodward St, Orlando, FL 32803-4256 | 2009-03-17 |
| 1457511016 | David Medina | Anesthesiology | 1850 N Central Ave, Suite 1600, Phoenix, AZ 85004-4527 | 2008-06-16 |
| 1346424983 | David Medina | Registered Nurse | 7200 Bancroft Ave Ste 202, Oakland, CA 94605-2471 | 2007-12-18 |
| 1346436870 | David Alejandro Medina | Dentist | 8915 14th Ave S, Seattle, WA 98108-4813 | 2007-09-18 |
| Street Address |
10925 MAGNOLIA AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505-3044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972922250 | Village Dental Care | Clinic/Center | 10925 Magnolia Ave, Riverside, CA 92505-3044 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
| 1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
| Find all providers in zip 92505 | ||||
| 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 |
|---|---|---|---|---|
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1003431834 | Tina Cho Dmd Inc | Dentist | 6160 Arlington Ave Ste D4, Riverside, CA 92504-1900 | 2020-06-08 |
| 1982181012 | Sam Tehrani | Dentist | 3297 Arlington Ave Ste 101, Riverside, CA 92506-3250 | 2018-07-21 |
| 1851878045 | Maria Jesus Tagle-castro Parsa | Dentist | 5800 Van Buren Blvd Ste 110, Riverside, CA 92503-9031 | 2018-07-20 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1104348960 | Hochan Hwang | Dentist | 1212 E Putnam Ave Ste 2, Riverside, CT 06878-1431 | 2017-07-13 |
| 1699214155 | Shining Smiles Riverside Inc. | Dentist | 2720 Harlem Ave, Riverside, IL 60546-1738 | 2017-02-16 |
| 1629510458 | Seung M Kang & Lloyd Trieu Dds, Inc. | Dentist | 17942 Van Buren Blvd, Riverside, CA 92508-9255 | 2016-11-10 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| 1972952448 | Hieu Trung Mai | Dentist | 11695 Slate Ave Ste 200, Riverside, CA 92505-5197 | 2016-06-06 |
| Find all providers in RIVERSIDE | ||||
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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.