CARLOS ALBERTO PONI (NPI# 1619450020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619450020 |
| Entity Type | Individual |
| Full Name | CARLOS ALBERTO PONI |
| Credential | DDS |
| Practice Address |
11092 Anderson St Loma Linda CA 92350-1706 |
| Mailing Address |
186 Cheshire Ln San Bernardino CA 92408-4151 |
| Practice Telephone | 9095584663 |
| Practice Fax Number | 9095580463 |
| Mailing Telephone | 9097548004 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
101645 | CA | Dental Providers |
| Street Address |
11092 ANDERSON ST |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92350-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114912854 | Nathan Alexander Dinsbach | Dentist | 11092 Anderson St, Loma Linda, CA 92350-1706 | 2005-09-20 |
| 1134736366 | Mel-anizi Abante Bersaba | Dentist | 11092 Anderson St, Loma Linda, CA 92350-1706 | 2020-10-01 |
| 1205454683 | Marilyn Tago | Dentist | 11092 Anderson St, Loma Linda, CA 92350-1706 | 2020-07-11 |
| 1366095143 | Akinlolu Tolulope Jegede | Dentist | 11092 Anderson St, Loma Linda, CA 92350-1706 | 2019-07-19 |
| 1992360705 | Alexander Borisovich Zaykov | Student in an Organized Health Care Education/Training Program | 11092 Anderson St, Loma Linda, CA 92350-1706 | 2019-05-07 |
| 1780175513 | Lin Jing | Dentist | 11092 Anderson St, Loma Linda, CA 92350-1706 | 2018-05-29 |
| 1336630177 | Roya Mahmoodi | Dentist | 11092 Anderson St, Loma Linda, CA 92350-1706 | 2018-05-29 |
| 1740771583 | Susan Q Xu | Dentist | 11092 Anderson St, Loma Linda, CA 92350-1706 | 2018-05-29 |
| 1881191872 | Janine Tran | Dentist | 11092 Anderson St, Loma Linda, CA 92350-1706 | 2018-04-07 |
| 1477078046 | Isaac Emerson Lowe | Dentist | 11092 Anderson St, Loma Linda, CA 92350-1706 | 2017-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164059010 | Stephanie Abandy | Student in an Organized Health Care Education/Training Program | 11262 Campus Street - West Hall, West Hall, Loma Linda, CA 92350 | 2020-03-23 |
| 1275911844 | Rosemarie Florian | Internal Medicine | 11234 Anderson St Rm 1503, Loma Linda, CA 92350 | 2015-05-14 |
| 1235525403 | Diana Derosa Villarreal | Pediatrics | 11175 Campus St. Cp-a1111, Department of Pediatrics, Loma Linda, CA 92350 | 2015-04-14 |
| 1609212919 | Daniel Eldridge Smith | Surgery | 11175 Campus St # 21111, Loma Linda, CA 92350 | 2013-05-14 |
| 1992057269 | Hildemar Feliciano Dos Santos | Nutritionist | 25040 Stewart Street, Loma Linda, CA 92350 | 2012-10-10 |
| 1184910762 | Kristyn Anne Mannoia | Surgery | 11234 Anderson Ave Ste 2100, Loma Linda, CA 92350 | 2011-06-22 |
| 1760774947 | Loma Linda University | Special Hospital | 1234 Anderson Street, Gme Office Csp 21005, Loma Linda, CA 92350 | 2011-05-06 |
| 1144547977 | Andrei Radulescu | Surgery | 11175 Campus St Ste 21111, Loma Linda, CA 92350 | 2010-05-04 |
| 1619102845 | Wing Sze Esther Yung | Surgery | 11175 Campus Street #21111, Loma Linda Universiy Healthcare System, Loma Linda, CA 92350 | 2009-05-18 |
| 1679720734 | Ronald Lee Young | Dentist | 11092 Anderson Streeet, Llu School of Dentistry, Loma Linda, CA 92350 | 2008-08-20 |
| Find all providers in zip 92350 | ||||
| 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 |
|---|---|---|---|---|
| 1306458583 | Melissa Michelle Khoury | Dentist | 10886 Loro Verde Ave, Loma Linda, CA 92354-2531 | 2020-08-19 |
| 1700445152 | Cecilia Miranda-oglesby | Dentist | 24584 Loma Vista Dr, Loma Linda, CA 92354-3332 | 2019-06-10 |
| 1982124855 | Cherice Singee Lim | Dentist | 11092 Anderson St Prince Hall #3301, Loma Linda, CA 92350-0001 | 2017-06-22 |
| 1073966933 | Maria Salud Garcia | Dentist | 10712 1/2 Poplar St, Loma Linda, CA 92354-2204 | 2016-07-15 |
| 1982053161 | Youngseong Koh | Dentist | 26354 Long St, Loma Linda, CA 92354-6566 | 2016-06-08 |
| 1912352360 | Hyunjin Choi | Dentist | 24682 Stewart St Apt A, Loma Linda, CA 92354-2786 | 2016-05-03 |
| 1366844888 | Kwang-su Peter Chung | Dentist | 11546 Murphy St, Loma Linda, CA 92354-3620 | 2014-09-16 |
| 1114348265 | Justin E Kim | Dentist | 11140 Mesquite Ave, Loma Linda, CA 92354-6556 | 2013-12-16 |
| 1295168102 | Michael Staker | Dentist | 11488 Via Capri, Loma Linda, CA 92354-3852 | 2013-08-14 |
| 1609212984 | Maria Patricia Becerra Garcia | Dentist | 24850 Prospect Ave Apt F, Loma Linda, CA 92354-2846 | 2013-05-14 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92350 |
Please comment or provide details below to improve the information on CARLOS ALBERTO PONI.
| 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.