DR. SUSAN ROCHE (NPI# 1679780670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679780670 |
| Entity Type | Individual |
| Full Name | DR. SUSAN ROCHE |
| Credential | D.D.S. |
| Practice Address |
11092 Anderson Street Loma Linda CA 92354 |
| Practice Telephone | 9095584613 |
| Mailing Telephone | 9095584613 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
41530 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE NUMBER | 41530 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104237247 | Susan Roche | Nurse Practitioner | 16939 Sw 134th Ave, Archer, FL 32618-5413 | 2014-05-12 |
| 1629117197 | Susan M Roche | Registered Nurse | 2500 W 12th St, Erie, PA 16505-4508 | 2007-02-05 |
| 1457405961 | Susan Wood Roche | Registered Nurse | 2400 S Flower St, Los Angeles, CA 90007-2629 | 2007-01-22 |
| Street Address |
11092 ANDERSON STREET |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134253339 | Loma Linda University | Dentist | 11092 Anderson Street, Loma Linda, CA 92354 | 2007-03-16 |
| 1093130965 | Tory Silvestrin | Dentist | 11092 Anderson Street, Loma Linda University School of Dentistry, Loma Linda, CA 92354 | 2014-02-28 |
| 1336459155 | Marilynn Jean Heyde | Dental Hygienist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 | 2010-10-14 |
| 1437469251 | Shelley L. Hayton | Dental Hygienist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 | 2010-10-14 |
| 1528378346 | Michelle Erin Einig | Dental Hygienist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 | 2010-10-14 |
| 1073820932 | Iris Hyunjoo Choi | Dentist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 | 2010-09-13 |
| 1376878918 | Robert Douglas Walter | Dentist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 | 2009-10-15 |
| 1497996078 | Bonnie J. Retamozo | Dentist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 | 2009-03-12 |
| 1689814535 | Jeffrey Marc Hwang | Dentist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 | 2009-03-04 |
| 1144466442 | Carrie Davies | Dental Hygienist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350 | 2008-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346263092 | Charles Bernard Stuller | Dentist | Va Loma Linda Healthcare System 160 11201 Benton St, Loma Linda, CA 92357-0001 | 2006-07-25 |
| 1689820219 | James R. Padgett | Dentist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350 | 2008-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851918262 | Fernandez Torres Dds LLC | Dentist | 4738 Scotts Valley Dr Ste A, Scotts Valley, CA 95066-4239 | 2020-07-01 |
| 1689138703 | Green Valley Oral Surgery and Dental Implant Center | Dentist | 5140 Business Center Dr Ste 120, Fairfield, CA 94534-1794 | 2019-01-23 |
| 1366928509 | Jason W. Pair D.d.s. A.p.c. | Dentist | 18907 Nordhoff St. #42, Northridge, CA 91324-3794 | 2018-07-11 |
| 1801314968 | Azar Professional Dental Corporation | Dentist | 3403 E Plaza Blvd Ste F, National City, CA 91950-4140 | 2017-09-08 |
| 1356865422 | F.farshidi Dds Md | Dentist | 2401 W Chapman Ave Ste 101, Orange, CA 92868-2327 | 2017-08-01 |
| 1487082046 | Scripps Oral Pathology Service, LLC | Dentist | 5190 Governor Dr Ste 106, San Diego, CA 92122-2848 | 2013-10-17 |
| 1497014146 | Brent J Ramsey | Dentist | 27450 Tourney Rd Ste 160, Valencia, CA 91355-1863 | 2012-05-15 |
| 1184869463 | Lan Su | Dentist | 31332 Via Colinas Ste 109, Westlake Village, CA 91362-6779 | 2008-12-15 |
| 1891987913 | Mahvash Navazesh | Dentist | 925 W 34th St Ste 151, Los Angeles, CA 90089-0641 | 2007-08-13 |
| 1124239488 | Andres F Herrera | Dentist | 546 Abbott St, Salinas, CA 93901-4000 | 2007-05-25 |
| Find all providers with the same taxonomy | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
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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.