DR. JOSE AGAPITO TIU FAJARDO JR. (NPI# 1699957696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699957696 |
| Entity Type | Individual |
| Full Name | DR. JOSE AGAPITO TIU FAJARDO JR. |
| Credential | DMD |
| Practice Address |
10920 Valley Blvd El Monte CA 91731-2515 |
| Practice Telephone | 6265828818 |
| Mailing Telephone | 6265828818 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2010-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
56587 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 1689982050 | 01 |
| Street Address |
10920 VALLEY BLVD |
| City | EL MONTE |
| State | CA |
| Zip Code | 91731-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689982050 | J.a.fajardo Dds Inc. | Dentist | 10920 Valley Blvd, El Monte, CA 91731-2515 | 2010-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154965994 | Anahi Mora | Case Manager/Care Coordinator | 3629 Santa Anita Ave, El Monte, CA 91731 | 2019-11-05 |
| 1346882321 | Rosemary Pespisa | Technician | 10558 Emery St., El Monte, CA 91731 | 2019-10-11 |
| 1962058123 | Maria Jesusa Gabriel | Licensed Vocational Nurse | 11041 E. Valley Blvd., El Monte, CA 91731 | 2019-08-14 |
| 1346720679 | Ivan Bustamante | Counselor | 11429 Valley Boulevard, El Monte, Ca 91731, El Monte, CA 91731 | 2018-08-16 |
| 1891213229 | Abbye Williams | Counselor | 11100 Valley Blvd Suite 116, El Monte, CA 91731 | 2017-09-06 |
| 1215467279 | All Health Alliance Medical Group, Inc. | Physical Medicine & Rehabilitation | 10505 Valley Boulevard, #238, El Monte, CA 91731 | 2017-06-13 |
| 1427416486 | Mai Le | Counselor | 11041 E. Valley Blvd, El Monte, CA 91731 | 2016-02-05 |
| 1235526724 | Kristine Malana | Social Worker | 10418 E. Valley Blvd., Suite A, El Monte, CA 91731 | 2015-04-22 |
| 1376980250 | Aura Hernandez | Rehabilitation Practitioner | 9865 Baldwin Pl., El Monte, CA 91731 | 2013-05-31 |
| 1639411754 | Roxana Yaneth De Paz | Nurse's Aide | 10481 Valley Blvd., El Monte, CA 91731 | 2013-03-27 |
| Find all providers in zip 91731 | ||||
| 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 |
|---|---|---|---|---|
| 1043640980 | Ambarachyan D.d.s., Inc. | Dentist | 10012 Garvey Ave Ste 10, El Monte, CA 91733-2086 | 2013-11-13 |
| 1386975050 | Shahriyar Behjou Dental Corporation | Dentist | 10755 Lower Azusa Rd Ste D, El Monte, CA 91731-1300 | 2010-01-20 |
| 1427384833 | Trent J Kanemaki Dds Inc | Dentist | 11525 Lambert Ave, El Monte, CA 91732-1842 | 2009-10-20 |
| 1700021649 | Oscar R Trigoso Dds Inc | Dentist | 9814 Garvey Ave Ste 9, El Monte, CA 91733-4704 | 2008-12-06 |
| 1083867386 | Pedram Joseph Zaghi | Dentist | 3551 Peck Rd, Unit 101, El Monte, CA 91731-3527 | 2008-10-30 |
| 1639354913 | Kyung H Choi D.d.s. Inc. | Dentist | 1928 Tyler Ave Ste D, El Monte, CA 91733-3622 | 2008-01-04 |
| 1609059070 | Ma May Thet Naing D.d.s. Inc | Dentist | 11766 Valley Blvd, El Monte, CA 91732-3044 | 2007-12-08 |
| 1356521264 | Nyi Nyi Win | Dentist | 9866 Garvey Ave, Ste. # A, El Monte, CA 91733-1289 | 2007-11-08 |
| 1437344280 | Dr Kolahi Dental Corp | Dentist | 3913 N Peck Rd, Peck Rd Dental Care, El Monte, CA 91732 | 2007-09-13 |
| 1477759819 | Joseph Fu-shou Yang Dds | Dentist | 12220 Valley Blvd Ste De, El Monte, CA 91732-3149 | 2007-06-22 |
| Find all providers in EL MONTE | ||||
Please comment or provide details below to improve the information on DR. JOSE AGAPITO TIU FAJARDO JR..
| 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.