SRAVANA JYOTHI VELLATURI (NPI# 1700498722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700498722 |
| Entity Type | Individual |
| Full Name | SRAVANA JYOTHI VELLATURI |
| Practice Address |
780 1st St Gilroy CA 95020-4972 |
| Mailing Address |
39224 Guardino Dr Apt 113 Fremont CA 94538-3018 |
| Practice Telephone | 4087963110 |
| Mailing Telephone | 2707926395 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 105241 | CA | Dental Providers |
| Street Address |
780 1ST ST |
| City | GILROY |
| State | CA |
| Zip Code | 95020-4972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639467061 | Western Dental Services, Inc | Dentist | 780 1st St, Gilroy, CA 95020-4972 | 2011-07-19 |
| 1376066761 | Ky Nguyen | Dentist | 780 1st St, Gilroy, CA 95020-4972 | 2017-07-18 |
| 1891169124 | Vedasri Thodupunoori | Dentist | 780 1st St, Gilroy, CA 95020-4972 | 2015-11-24 |
| 1386900504 | Vincent Kin Kei Fung | Dentist | 780 1st St, Gilroy, CA 95020-4972 | 2012-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158105 | Benjamin Liupaogo | Case Manager/Care Coordinator | Rebekah Children's Services, 290 Ioof Ave, Gilroy, CA 95020 | 2020-09-09 |
| 1205457330 | Ethel Rostran | Counselor | 290 I00f Ave., Gilroy, CA 95020 | 2020-04-29 |
| 1407498868 | Mehak Saini | Behavior Technician | 9360 Noname Uno, Gilroy, CA 95020 | 2019-10-16 |
| 1629622899 | Bruce Daniel Pirl | Counselor | 290 Ioof Rebekah Children Ave, 290 Ioof Avenue-phoenix School, Gilroy, CA 95020 | 2019-07-26 |
| 1932752490 | Eamon F. Burke | Counselor | Rebekah Children Services, 290 Ioof Ave., Gilroy, CA 95020 | 2019-07-23 |
| 1578116232 | Jose Enrique Cruz | Behavior Technician | 9360 Noname Uno #130, Gilroy, CA 95020 | 2019-07-22 |
| 1558925560 | Mauricio Hazael Procopio | Behavioral Analyst | 9360 Noname Uno Suite 130, Gilroy, CA 95020 | 2019-04-24 |
| 1689138893 | Gabriela Mendoza | Behavioral Analyst | 9395 Kern Ave, Gilroy, CA 95020 | 2019-01-22 |
| 1972082782 | Andrea Gloria Blanton | Social Worker | Rebekah Children's Services, 290 100f Ave, Gilroy, CA 95020 | 2018-08-13 |
| 1407334626 | Katrina Davina Aguilera | Case Manager/Care Coordinator | 290 Loof Ave., Gilroy, CA 95020 | 2018-07-31 |
| Find all providers in zip 95020 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154977783 | Suman Ramakumar Dds Inc | Dentist | 6955 Camino Arroyo Ste 50, Gilroy, CA 95020-7342 | 2019-08-09 |
| 1770028367 | Harneet Kaur | Dentist | 835 Sorrento Dr, Gilroy, CA 95020-3239 | 2017-01-05 |
| 1598211062 | Nima Pakravan | Dentist | 6974 Chestnut St, 6974 Automall Pkwy, Gilroy, CA 95020-6635 | 2016-08-25 |
| 1609252097 | Dr. Kim Phung, P. C. | Dentist | 7970 Princevalle St, Gilroy, CA 95020-5027 | 2015-08-07 |
| 1689930869 | Gar N Chan | Dentist | 7880 Wren Ave Ste E154, Gilroy, CA 95020-7802 | 2012-04-02 |
| 1639467061 | Western Dental Services, Inc | Dentist | 780 1st St, Gilroy, CA 95020-4972 | 2011-07-19 |
| 1205051224 | Mimi M. Tran | Dentist | 7897 Eigleberry St, Gilroy, CA 95020-5126 | 2007-04-16 |
| 1508990771 | Euwei Michael Tai | Dentist | 7845 Monterey St, Gilroy, CA 95020-4519 | 2007-03-16 |
| 1700940335 | Arnold Tsutomu Ichiuji | Dentist | 700 West Sixth Street, Ste A, Gilroy, CA 95020 | 2006-12-20 |
| 1184782864 | Dental Office of Dawn Pan | Dentist | 8060 Santa Teresa Bl, 120, Gilroy, CA 95020 | 2006-12-05 |
| Find all providers in GILROY | ||||
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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.