DR. MARY M JEW (NPI# 1639485303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639485303 |
| Entity Type | Individual |
| Full Name | DR. MARY M JEW |
| Credential | D.D.S. |
| Practice Address |
4980 Barranca Pkwy Suite 150 Irvine CA 92604-8645 |
| Mailing Address |
Po Box 15013 Irvine CA 92623-5013 |
| Practice Telephone | 9496892282 |
| Mailing Telephone | 9496892282 |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2015-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
35410 | CA | Dental Providers |
| Street Address |
4980 BARRANCA PKWY SUITE 150 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-8645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528041704 | Bruce M Albert | Orthopaedic Surgery | 4980 Barranca Pkwy, Suite 201, Irvine, CA 92604-8645 | 2005-11-22 |
| 1679993091 | Matthew C Tsai Dds Inc | Clinic/Center | 4980 Barranca Pkwy, #204, Irvine, CA 92604-8645 | 2014-04-24 |
| 1285070466 | Tsai, Hsiao & Loo Dental Corporation | Dentist | 4980 Barranca Pkwy, Suite 204, Irvine, CA 92604-8645 | 2013-05-15 |
| 1104170323 | Laura Kay Villasenor | Nurse Practitioner | 4980 Barranca Pkwy, Suite 200, Irvine, CA 92604-8645 | 2012-11-09 |
| 1790045300 | Zain Vally Md Inc A Professional Corporation | Internal Medicine | 4980 Barranca Pkwy, Suite 195, Irvine, CA 92604 | 2012-05-17 |
| 1962769729 | The Spine and Pain Center of Orange County | Internal Medicine | 4980 Barranca Pkwy, Suite 195, Irvine, CA 92604-8645 | 2012-04-18 |
| 1831465798 | Minkyung Jung | Acupuncturist | 4980 Barranca Pkwy, #130, Irvine, CA 92604-8645 | 2012-03-26 |
| 1710251764 | Badii Lee Dental Corporation, Inc | Dentist | 4980 Barranca Pkwy, Suite 101, Irvine, CA 92604-8645 | 2012-03-07 |
| 1538459979 | Mspt Inc | Physical Therapist | 4980 Barranca Pkwy, Suite 195, Irvine, CA 92604-8645 | 2011-04-18 |
| 1497056824 | Tracy Melinda Arsenault | Physician Assistant | 4980 Barranca Pkwy, Suite 200, Irvine, CA 92604-8645 | 2010-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1528477437 | Nooshin Ghayoumi Dds Inc | Dentist | 113 Waterworks Way Ste 255, Irvine, CA 92618-3169 | 2014-08-05 |
| 1073764908 | Mohamed Abdalla Hassan | Dentist | 107 Tinker, Irvine, CA 92618-0825 | 2008-10-09 |
| 1447409180 | Amir Mostaghni | Dentist | 70 Briarwood, Irvine, CA 92604-3753 | 2008-09-18 |
| 1013177625 | Saeid Malboubi | Dentist | 464 Monroe, Irvine, CA 92620-3656 | 2008-06-17 |
| 1225154248 | Yen-hui V Li | Dentist | 4200 Trabuco Rd Ste 130, Irvine, CA 92620-3622 | 2007-03-21 |
| 1932258332 | Coury Staadecker | Dentist | 405 Rockefeller, 504, Irvine, CA 92612-7188 | 2007-01-09 |
| 1649378126 | Cheng L Miao | Dentist | 3313 Spectrum, Irvine, CA 92618-3374 | 2006-09-20 |
| 1700800943 | Pilseong Kim | Dentist | 4760 Barranca Pkwy, Irvine, CA 92604-4727 | 2006-07-27 |
| 1811916398 | Todd E. Miller | Dentist | 16100 Sand Canyon Ave Ste 320, Irvine, CA 92618-3718 | 2006-07-18 |
| Find all providers in IRVINE | ||||
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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.