SIUMAN FAN DDS INC. (NPI# 1689862484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689862484 |
| Entity Type | Organization |
| Organization Name | SIUMAN FAN DDS INC. |
| Practice Address |
2020 Camino Del Rio N 101 San Diego CA 92108-1541 |
| Practice Telephone | 6196924310 |
| Mailing Telephone | 6196924310 |
| Enumeration Date | 2007-10-06 |
| Last Update Date | 2007-10-06 |
| Authorized Official Name | DR. SIUMAN FAN (PRESIDENT) |
| Authorized Official Telephone | 6196924310 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
36241 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TYPE 1 NPI | 1811070295 | 01 |
| Street Address |
2020 CAMINO DEL RIO N 101 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700844370 | Tony Huy Pham | Ophthalmology | 2020 Camino Del Rio N, Ste 808, San Diego, CA 92108-1541 | 2006-05-03 |
| 1568715480 | Connect Hearing, Inc. | Audiologist | 2020 Camino Del Rio N, Suite 106, San Diego, CA 92108-1541 | 2012-10-16 |
| 1083932750 | Elhameh Allamehzadeh Dds, Inc. | Dentist | 2020 Camino Del Rio N, Suite 101, San Diego, CA 92108-1541 | 2010-05-05 |
| 1942537048 | Irina Darrow | Optometrist | 2020 Camino Del Rio N, #808, San Diego, CA 92108-1541 | 2009-11-10 |
| 1437385010 | Premier Healthcare Services, LLC | Home Health | 2020 Camino Del Rio N, Suite 600, San Diego, CA 92108-1541 | 2009-06-09 |
| 1215152509 | Alexander Leonardo Caligiuri | Chiropractor | 2020 Camino Del Rio N, Suite 805, San Diego, CA 92108-1541 | 2007-04-13 |
| 1811070295 | Siuman Fan | Dentist | 2020 Camino Del Rio N, 101, San Diego, CA 92108-1541 | 2006-10-23 |
| 1851315063 | Marc David Rose | Specialist | 2020 Camino Del Rio N, Suite 808, San Diego, CA 92108-1541 | 2006-07-27 |
| 1851310197 | Christopher Charles Rhoades | Dentist | 2020 Camino Del Rio N, Suite 108, San Diego, CA 92108-1541 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| 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 |
|---|---|---|---|---|
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1831797489 | Lily Neskin | Dentist | 4454 Shorepointe Way, San Diego, CA 92130-8635 | 2020-10-15 |
| 1487251294 | Zeki Abdulaali | Dentist | 1501 India St Unit 607, San Diego, CA 92101-2449 | 2020-10-05 |
| 1629681895 | Elizabeth Rodriguez | Dentist | 14701 Via Bettona Ste 215, San Diego, CA 92127-4808 | 2020-08-27 |
| 1679183602 | Hayat Fahliogullari-smith | Dentist | 1281 9th Ave Unit 1309, San Diego, CA 92101-4655 | 2020-08-04 |
| 1235768631 | Virgnia Padua Mattson D.m.d. | Dentist | 11717 Bernardo Plaza Ct Ste 100, San Diego, CA 92128-2419 | 2020-04-07 |
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1215568043 | Hage Dental Corporation | Dentist | 3365 Rosecrans St Ste C, San Diego, CA 92110-4256 | 2020-01-30 |
| 1275174310 | Yige Zhao Dental Corporation | Dentist | 9840 Carmel Mountain Rd, San Diego, CA 92129-2812 | 2019-09-30 |
| 1083255111 | Wayne David Gonzales | Dentist | 8031 Linda Vista Rd # 210, San Diego, CA 92111-5110 | 2019-09-30 |
| Find all providers in SAN DIEGO | ||||
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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.