LUIS CASTILLO PROFESSIONAL DENTAL CORPORATION (NPI# 1700305802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700305802 |
| Entity Type | Organization |
| Organization Name | LUIS CASTILLO PROFESSIONAL DENTAL CORPORATION |
| Practice Address |
5359 N Fresno St Ste 110f Fresno CA 93710-6864 |
| Practice Telephone | 5592210302 |
| Practice Fax Number | 5592210302 |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | ANNETTE CASTILLO (SECRETARY) |
| Authorized Official Telephone | 5592210302 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
45659 | CA | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5359 N Fresno St Ste 110f, Fresno, CA 937106864 | 5592210302 |
| Street Address |
5359 N FRESNO ST STE 110F |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-6864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992327431 | Ryann Michelle Christensen, Dds, Ms, PC | Clinic/Center | 1642 E Herndon Ave Ste 105, Fresno, CA 93720-3377 | 2020-05-07 |
| 1083267512 | Jafarinejad & Seifi Dental Group Inc | Clinic/Center | 1265 E Shaw Ave Ste 100, Fresno, CA 93710-7803 | 2019-07-23 |
| 1619539384 | Jacob D. Weissich, Dds, Inc. | Clinic/Center | 7730 N Fresno St Ste 104, Fresno, CA 93720-2408 | 2019-07-02 |
| 1346805603 | Shih-yen Paul Hsiao, Dds, Mph, Jd, Inc. | Clinic/Center | 5678 N Palm Ave Ste 102, Fresno, CA 93704-1850 | 2019-05-02 |
| 1881199057 | Saleem & Alfroukh Dental Group Inc | Clinic/Center | 1215 N Del Mar Ave, Fresno, CA 93728-1958 | 2018-03-28 |
| 1407396062 | Bhatia Dental Corporation | Clinic/Center | 6721 N Milburn Ave, Ste 101, Fresno, CA 93722-2140 | 2017-03-02 |
| 1609239342 | Hugo Coronado Dds Inc | Clinic/Center | 6700 N Fresno St, 136, Fresno, CA 93710 | 2016-03-31 |
| 1992179204 | Better Life Imaging Center | Clinic/Center | 6535 N Palm Ave Ste 102, Fresno, CA 93704-1064 | 2015-11-24 |
| 1417334244 | A Beautiful Smile | Clinic/Center | 2440 E Soquel Cir, Fresno, CA 93720-4638 | 2015-04-30 |
| 1518387604 | R E Giometti Dds,inc | Clinic/Center | 1761 W Shaw Ave, #101, Fresno, CA 93711-3413 | 2014-04-16 |
| Find all providers in FRESNO | ||||
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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.