MR. VIJAY M GABBITA SR. (NPI# 1649625740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649625740 |
| Entity Type | Individual |
| Full Name | MR. VIJAY M GABBITA SR. |
| Other Name | MR. VIJAY M GABBITA SR. |
| Practice Address |
10513 Zenor Ln Unit 34 San Diego CA 92127-6810 |
| Practice Telephone | 8583957555 |
| Mailing Telephone | 8583957555 |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125J00000X | Dental Therapist | 4NGJ402 | CA | Dental Providers |
| Street Address |
10513 ZENOR LN UNIT 34 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92127-6810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124473210 | Vi | Medicare Defined Swing Bed Unit | 10513 Zenor Ln Unit 34, San Diego, CA 92127-6810 | 2016-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740800325 | Jacob New | Student in an Organized Health Care Education/Training Program | 10790 Rancho Bernardo Rd., Mail Drop 4s-205, San Diego, CA 92127 | 2020-04-23 |
| 1376174946 | Marjorie Francisco Noy | Social Worker | 16550 W. Bernardo Drive, Bldg. 8/1688n, San Diego, CA 92127 | 2020-01-31 |
| 1295253839 | Chelsea Saville | Physical Therapist | 16680 West Bernardo Drive, San Diego, CA 92127 | 2017-09-05 |
| 1558881862 | Dianna Christine Goodwin | Social Worker | 11031 Via Frontera Suite C, San Diego, CA 92127 | 2017-06-27 |
| 1164966495 | Kelsey Michaela Bright | Specialist/Technologist | 15778 Camino Crisalida, San Diego, CA 92127 | 2016-12-06 |
| 1588112924 | Orenda Recovery | Substance Abuse Rehabilitation Facility | 8110 Twilight Point Way, San Diego, CA 92127 | 2016-09-14 |
| 1063868560 | Jung Oh | Pharmacist | 18087 Valladares Drive, San Diego, CA 92127 | 2016-05-13 |
| 1225496524 | Davey Dental Corp | Dentist | 16460 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2016-02-02 |
| 1942673496 | Davey Dental Corporation | Dentist | 1640 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2015-11-05 |
| 1164800025 | Maryam Derakhshani | Dentist | 10960 La Alberca Avenue, San Diego, CA 92127 | 2015-05-12 |
| Find all providers in zip 92127 | ||||
| Taxonomy Code | 125J00000X |
| Grouping | Dental Providers |
| Classification | Dental Therapist |
| A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114497054 | Trisha-ann Thomas | Dental Therapist | 1880 Hanford Dr, San Diego, CA 92111-6736 | 2018-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871091173 | Sandeep Kaur Mann | Dental Therapist | 3384 Amy Dr, Corona, CA 92882-8794 | 2018-02-01 |
| 1053767137 | Laura Kirkland | Dental Therapist | 984 Monument Drive, 207, Pacific Palisades, CA 90272 | 2016-05-09 |
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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.