DR. MARIA ANGELICA FONSECA RICAURTE


Address: 2999 Regent St Ste 714, Berkeley, CA 94705-2122
Phone: 5108483143

DR. MARIA ANGELICA FONSECA RICAURTE (NPI# 1568000743) 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) 1568000743
Entity Type Individual
Full Name DR. MARIA ANGELICA FONSECA RICAURTE
Other Name DR. MARIA ANGELICA VENKATA
Credential DDS
Practice Address 2999 Regent St Ste 714
Berkeley
CA 94705-2122
Mailing Address 3700 Casa Verde St Apt 2504
San Jose
CA 95134-3338
Practice Telephone 5108483143
Mailing Telephone 3109050335
Enumeration Date 2019-12-18
Last Update Date 2019-12-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
DDS104383 CA Dental Providers

Office Location

Street Address 2999 REGENT ST STE 714
City BERKELEY
State CA
Zip Code 94705-2122

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083138820 Peter Daniel Fredrickson Dentist 2999 Regent St Ste 714, Berkeley, CA 94705-2122 2017-08-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447882956 Diane Lomas Wyatt Marriage & Family Therapist 2340 Ward St. Ste 104, Berkeley, CA 94705 2020-02-12
1700371275 Icecreamwala Dermatology Inc Dermatology 2435 Webster St Ste 101, Berkeley, CA 94705 2018-06-27
1396253803 David R Shaddock Marriage & Family Therapist 3030 Ashby Avenue, # 105, Berkeley, CA 94705 2018-01-18
1821504432 Allegra Tringali Physical Therapist 2450 Ashby Ave Fl 6, Berkeley, CA 94705 2017-12-19
1659898740 Hunter Brown Student in an Organized Health Care Education/Training Program Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 2017-08-29
1588014534 Heather Valdez Social Worker 2185 Ashby Ave, Berkeley, CA 94705 2016-06-20
1215350145 S.e.e.d.s. (social and Emotional Education Development and Support) Community/Behavioral Health 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 2014-01-29
1144580960 Benjamin Tucker Counselor 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 2012-05-26
1881966141 Jennifer Cowherd Behavioral Analyst 2201 Woolsey St, Berkeley, CA 94705 2012-02-02
1518255892 Erika D Huguenard Counselor 2811a College Avenue, Berkeley, CA 94705 2011-07-20
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Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285887034 William A Saupe Dentist 2416 Ashby Ave, Berkeley, CA 94705-2002 2008-10-24
1336293059 Robert B Watkins Dentist 2320 Woolsey St Ste 112, Berkeley, CA 94705-1974 2007-01-22
1679704282 Donald Avery Curtis Dentist 2300 Durant Ave, Berkeley, CA 94704 2009-07-30
1932265923 Irina Olmezova Dentist 1860 Alcatraz Avenue, Berkeley, CA 94703 2006-12-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952902272 Prajna Banan Dentist 10833 Le Conte Ave Rm A0-156a, Los Angeles, CA 90095-3075 2020-11-03
1780299891 Craig W. Conrow Dds Ms Inc Dentist 73993 Highway 111 Ste 200, Palm Desert, CA 92260-4034 2020-09-15
1750995601 Maggie T. Chao A Professional Corporation Dentist 1475 Cedarwood Ln Ste C, Pleasanton, CA 94566-6128 2020-09-08
1447881123 Setia Dental Corporation Dentist 1130 Folsom St, San Francisco, CA 94103-3928 2020-01-30
1780239954 Rishabh Pravin Acharya Dentist 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 2019-08-05
1295395796 Pleasant Hill Prosthodontics Dentist 401 Gregory Ln Ste 130, Pleasant Hill, CA 94523-2836 2019-06-17
1346706363 Todd M Yonemura Dds, Apc Dentist 400 El Cerro Blvd., Suite #103, Danville, CA 94526 2019-02-14
1457834889 William Ginzburg Dental Center Inc Dentist 13286 Fiji Way, Marina Del Rey, CA 90292-7119 2018-09-12
1528549730 Alison Fishman Dentist 160 Bovet Rd Ste 307, San Mateo, CA 94402-3138 2018-08-25
1912483389 Edmond Armand Bedrossian Dentist 450 Sutter St Rm 2618, San Francisco, CA 94108-4205 2018-07-18
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Competitor

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City BERKELEY
Zip Code 94705

Improve Information

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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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