PACIFIC DENTAL CLINIC (NPI# 1750575403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750575403 |
| Entity Type | Organization |
| Organization Name | PACIFIC DENTAL CLINIC |
| Practice Address |
1201 N Euclid St Anaheim CA 92801-1954 |
| Practice Telephone | 7148178345 |
| Practice Fax Number | 7142247688 |
| Mailing Telephone | 7148178345 |
| Mailing Fax Number | 7142247688 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |
| Authorized Official Name | JORGE LUIS GERONIMO (DENTIST) |
| Authorized Official Telephone | 7148178345 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 47897 | CA | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326381450 | Pacific Dental Clinic | Dentist | 25025 Red Maple Ln, Moreno Valley, CA 92551-1137 | 2013-03-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | PACIFIC DENTAL CLINIC MANAGEMENT GROUP LLC | 7550 W. Yale Ave, Suite A-201, Denver, CO 80227 |
| Street Address |
1201 N EUCLID ST |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92801-1954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477757623 | Christine Nguyen-quynh Hoang | Dentist | 1201 N Euclid St, Anaheim, CA 92801-1954 | 2007-06-12 |
| 1235663840 | Ju Young Lee Dds Inc | Dentist | 1201 N Euclid St, Anaheim, CA 92801-1954 | 2017-04-20 |
| 1285904763 | Young Kim, Dds, Inc. | Dentist | 1201 N Euclid St, Anaheim, CA 92801-1954 | 2011-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376178996 | Megalink Staffing Services Corp. | Non-emergency Medical Transport (VAN) | 780 N. Euclid St., Suite 207, Anaheim, CA 92801 | 2020-03-04 |
| 1669988630 | Munoz Urgent Care Inc. | Clinic/Center | 1741 W Romneya Dr., Suite A, Anaheim, CA 92801 | 2017-12-28 |
| 1922523257 | Enrique Esparza Jr. | Peer Specialist | 501 North Brookhurst Street, Anahiem, CA 92801 | 2017-08-08 |
| 1336689405 | Lan P. Tran | Pharmacist | 2308 W Huntington Ave, Anaheim, CA 92801 | 2017-03-08 |
| 1982065447 | Giselle Magdaleno | Marriage & Family Therapist | 505 N Euclid St #300, Anaheim, CA 92801 | 2016-03-11 |
| 1346605433 | Esther Chong | Nurse Practitioner | 710 N. Euclid St., 400, Anaheim, CA 92801 | 2015-12-16 |
| 1629441183 | Caremore Health Plan | Nurse Practitioner | 1182 N. Euclid Street, Anaheim, CA 92801 | 2015-11-05 |
| 1205208451 | Uyen Diem Ngo | Pharmacist | 1188 N. Euclid St., Anaheim, CA 92801 | 2015-10-28 |
| 1962873729 | Herb and Acu | Acupuncturist | 1737 W. Romneya Dr., Anaheim, CA 92801 | 2015-10-19 |
| 1437535721 | Yessenia Alvarado | Marriage & Family Therapist | 505 N. Euclid Street, Suite 300, Anaheim, CA 92801 | 2015-08-10 |
| Find all providers in zip 92801 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356806525 | Premierone Plus Aco | Preferred Provider Organization | 1210 N Jefferson St Ste D, Anaheim, CA 92807-1630 | 2019-02-01 |
| 1184100471 | Care Allies Ipa, Inc | Preferred Provider Organization | 1211 W La Palma Ave Ste 309, Anaheim, CA 92801-2811 | 2018-07-19 |
| 1043368269 | Julio Cruz Dds Inc | Preferred Provider Organization | 9210 Katella Ave, Ste C, Anaheim, CA 92804-6376 | 2007-01-05 |
| 1346274503 | Clinical Health Systems | Preferred Provider Organization | 1319 S Euclid St, Anaheim, CA 92802-2001 | 2006-07-11 |
| 1932650462 | Continental Interpreting Services, Inc. | Preferred Provider Organization | 4175 E La Palma Ave, Anaheim, CA 92807-1842 | 2016-10-19 |
| 1295036721 | Timothy Guan-tyng Yeh M D Inc | Preferred Provider Organization | 1751 W Romneya Dr, Suite Number A, Anaheim, CA 92801-1815 | 2010-11-15 |
| 1831355544 | Telecare | Preferred Provider Organization | 2569 W Woodland Dr, Anaheim, CA 92801-2608 | 2008-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961142 | Hoag Physcian Partners | Preferred Provider Organization | 16148 Sand Canyon Ave Fl 2, Irvine, CA 92618-3700 | 2020-01-08 |
| 1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1245723071 | Pacific Associates Medical Group, Inc. | Preferred Provider Organization | 9900 Lakewood Blvd Ste 103, Downey, CA 90240-4039 | 2018-06-06 |
| 1821585266 | Anthony Nguyen Dds Inc | Preferred Provider Organization | 1125 E 17th St Ste N156, Santa Ana, CA 92701-2215 | 2018-04-20 |
| 1275038051 | Ryan Lange D.m.d. Inc. | Preferred Provider Organization | 17897 Macarthur Blvd Ste 100, Irvine, CA 92614-0532 | 2018-03-26 |
| 1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| 1528591476 | Harpreet S. Gill Dds | Preferred Provider Organization | 360 W Foothill Pkwy, Suite 103, Corona, CA 92882-8546 | 2017-04-07 |
| 1376076620 | Back To Work Orthopedic Medical Group | Preferred Provider Organization | 7300 Alondra Blvd, Ste 100, Paramount, CA 90723-4000 | 2017-04-04 |
| 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.