FIDELE ROBERT DE LA TORRE (NPI# 1689830101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689830101 |
| Entity Type | Individual |
| Full Name | FIDELE ROBERT DE LA TORRE |
| Credential | D.D.S. |
| Practice Address |
3154 De Forest Rd Suite D Marina CA 93933-2771 |
| Practice Telephone | 8313845023 |
| Practice Fax Number | 8313840177 |
| Mailing Telephone | 8313845023 |
| Mailing Fax Number | 8313840177 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 18812 | CA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
18812 | CA | Dental Providers |
| Street Address |
3154 DE FOREST RD SUITE D |
| City | MARINA |
| State | CA |
| Zip Code | 93933-2771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437256351 | Philip Wolff | Dentist | 3154 De Forest Rd, Marina, CA 93933-2771 | 2006-09-20 |
| 1780130138 | Ghs Kaur, Dds Inc. | Dentist | 3154 De Forest Rd, Suite #d, Marina, CA 93933-2771 | 2016-08-26 |
| 1043438799 | Richard Nathan Holm | Dentist | 3154 De Forest Rd, Ste B, Marina, CA 93933-2771 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803012 | Caterina Poehner | Social Worker | 617 Bayonet Cirle, Marina, CA 93933 | 2020-08-28 |
| 1972036499 | Stephanie Blalock | Counselor | 617 Bayonet Circle, Marina, CA 93933 | 2017-04-11 |
| 1588110340 | Monique Theaker | Counselor | 299b Twelfth Street, Marina, CA 93933 | 2016-08-31 |
| 1053709220 | Mehry Khazan | Marriage & Family Therapist | 299 Twelfth Street, Marina, CA 93933 | 2014-12-22 |
| 1306241476 | Tiffany Avery | Counselor | 299 12th St Ste B, Marina, CA 93933 | 2014-10-30 |
| 1881037141 | Marilyn Anderson | Counselor | 3043 Macarthur Dr, Marina, CA 93933 | 2013-04-16 |
| 1669744280 | Leslie Penley | Dentist | 3154 Deforest Rd. Suitea, Marina, CA 93933 | 2012-01-27 |
| 1215221510 | Janet Hernandez Barajas | Social Worker | 299a 12th Street, Marina, CA 93933 | 2011-06-03 |
| 1538302740 | Sonia Cortes | Counselor | 613 Bayonet Cir., Marina, CA 93933 | 2009-04-17 |
| 1144476003 | Carolina Cortez | Counselor | 2982 Bayonet Ct, Marina, CA 93933 | 2008-08-12 |
| Find all providers in zip 93933 | ||||
| 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 |
|---|---|---|---|---|
| 1174678007 | Yves Rene Hoarau | Dentist | 250 Reservation Rd Ste H, Marina, CA 93933-3017 | 2007-01-23 |
| 1437256351 | Philip Wolff | Dentist | 3154 De Forest Rd, Marina, CA 93933-2771 | 2006-09-20 |
| 1053425371 | Kendall K Jang | Dentist | 223 Reindollar Ave, Suite B, Marina, CA 93933 | 2006-08-17 |
| 1538194014 | Tatshyan Sihoe | Dentist | 271 Reservation Rd, Suite 102, Marina, CA 93933-3175 | 2006-07-12 |
| 1780130138 | Ghs Kaur, Dds Inc. | Dentist | 3154 De Forest Rd, Suite #d, Marina, CA 93933-2771 | 2016-08-26 |
| 1750787032 | Howard L. Jones | Dentist | 271 Reservation Rd, Suite 102, Marina, CA 93933 | 2014-11-13 |
| 1518178656 | Al Lavilla | Dentist | 271 Reservation Rd, Suite 101, Marina, CA 93933-3175 | 2007-05-24 |
| 1043438799 | Richard Nathan Holm | Dentist | 3154 De Forest Rd, Ste B, Marina, CA 93933-2771 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932141 | Jason T Garland | Dentist | 7892 Sitio Mirto, Carlsbad, CA 92009-6999 | 2020-11-05 |
| 1386245462 | Miller Skinner and Dastrup Dental Corporation of Madera | Dentist | 118 N A St, Madera, CA 93638-3210 | 2020-11-04 |
| 1912508177 | Adrian Acosta Dds A Professional Dental Corp | Dentist | 951 W. Whittier Blvd, La Habra, CA 90631-3743 | 2020-11-04 |
| 1871194175 | Lawrence G. Low Dds & Kenneth Y.k. Li Dds | Dentist | 229 Cajon St Ste 3, Redlands, CA 92373-5284 | 2020-11-03 |
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1083214282 | Sara Davidson, Dds, PC | Dentist | 176 Terra Vista Ave, San Francisco, CA 94115-3824 | 2020-10-27 |
| 1871192484 | David Moody Dental Corporation | Dentist | 19737 W Valley Blvd, Tehachapi, CA 93561-8601 | 2020-10-23 |
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1104425248 | Aditi Mehndiratta | Dentist | 17585 Vierra Canyon Rd, Prunedale, CA 93907-3312 | 2020-10-20 |
| 1346849452 | Lauren Gabrielle Alfonso Santos | Dentist | 4005 Manzanita Ave Ste 50, Carmichael, CA 95608-1784 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.