JOSE ERIC CARRASCO SANDOVAL (NPI# 1770146714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770146714 |
| Entity Type | Individual |
| Full Name | JOSE ERIC CARRASCO SANDOVAL |
| Credential | DDS |
| Practice Address |
1141 Pear Tree Ln Ste 100 Napa CA 94558-6485 |
| Mailing Address |
1540 6th Ave Apt 3 San Francisco CA 94122-3827 |
| Practice Telephone | 7072541770 |
| Mailing Telephone | 7072252624 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 105308 | CA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 339 E Leland Rd, Pittsburg, CA 945654911 | 9254311250 |
| Street Address |
1141 PEAR TREE LN STE 100 |
| City | NAPA |
| State | CA |
| Zip Code | 94558-6485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073514840 | Kristine Himmerick | Physician Assistant | 1141 Pear Tree Ln Ste 100, Napa, CA 94558-6485 | 2005-08-03 |
| 1437764495 | Evelyn C. Cuevas | Registered Nurse | 1141 Pear Tree Ln Ste 100, Napa, CA 94558-6485 | 2020-09-15 |
| 1467084756 | Esperanza Escobedo | Registered Nurse | 1141 Pear Tree Ln Ste 100, Napa, CA 94558-6485 | 2020-02-05 |
| 1376925479 | Maria M. Rivas | Pharmacist | 1141 Pear Tree Ln Ste 100, Napa, CA 94558-6485 | 2015-06-24 |
| 1730467051 | Lulu Garcia | Physician Assistant | 1141 Pear Tree Ln Ste 100, Napa, CA 94558-6485 | 2011-08-03 |
| 1679868681 | Rebecca Lynn Grageda | Registered Nurse | 1141 Pear Tree Ln Ste 100, Napa, CA 94558-6485 | 2011-06-17 |
| 1003109026 | Rosalee M. Kamper | Dietitian, Registered | 1141 Pear Tree Ln Ste 100, Napa, CA 94558-6485 | 2011-05-24 |
| 1043527088 | Kajua Betsy Lor | Pharmacist | 1141 Pear Tree Ln Ste 100, Napa, CA 94558-6485 | 2010-09-13 |
| 1952501124 | Christine Lynne Conigliaro | Social Worker | 1141 Pear Tree Ln Ste 100, Napa, CA 94558-6485 | 2007-07-24 |
| 1194922567 | Rosa Elena Olmos | Counselor | 1141 Pear Tree Ln Ste 100, Napa, CA 94558 | 2007-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811542319 | Napa Solano Plastic Surgery. Inc. | Plastic Surgery | 1175 Trancas Street, Napa, CA 94558 | 2019-08-02 |
| 1891357851 | Guadalupe Barboza | Student in an Organized Health Care Education/Training Program | 2751 Napa Valley Corporate Drive, Building A, Mental Health Division, Napa, CA 94558 | 2019-06-30 |
| 1285154591 | Jacey J Castillo | Rehabilitation Practitioner | 2751 Napa Valley Corporate Dr. Bldg B, Napa, CA 94558 | 2017-06-27 |
| 1811447766 | Caitlin Ford | Massage Therapist | 2441 W Imola Ave, Napa, CA 94558 | 2016-10-04 |
| 1700252384 | Azucena Cortez | Student in an Organized Health Care Education/Training Program | 3450 Villa Ln. #3, Napa, CA 94558 | 2015-08-18 |
| 1982089603 | Vnessa Rotolo | Counselor | 2100 Napa Valley Hwy, Bldg 253 M1 & M2, Napa, CA 94558 | 2015-07-23 |
| 1346657772 | Catherine Gordon | Marriage & Family Therapist | 1001 Second Street, Suite 355, Napa, CA 94558 | 2014-07-17 |
| 1811308968 | Jordan A. Lamberton D.d.s., Inc. | Durable Medical Equipment & Medical Supplies | 3270 Beard Rd., Napa, CA 94558 | 2014-05-12 |
| 1801223797 | Ole Health | Clinic/Center | 780 Lincoln Ave, Napa, CA 94558 | 2013-10-09 |
| 1255766614 | Eldonna May Christie | Obstetrics & Gynecology | 3160 Mt. Veeder Rd., Napa, CA 94558 | 2013-09-04 |
| Find all providers in zip 94558 | ||||
| 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 |
|---|---|---|---|---|
| 1730742156 | Beauregard Story | Dentist | 300 Hartle Court, Napa, CA 94559 | 2019-04-22 |
| 1417387523 | Nancy Azizi | Dentist | 1103 Trancas St Ste A, Napa, CA 94558-2907 | 2013-11-26 |
| 1427308683 | Nicholas Robert Andolina | Dentist | 239 Merano Way, Napa, CA 94558-7215 | 2012-09-14 |
| 1184852691 | Andrew Alido Rivamonte | Dentist | 1260 Trancas St, Napa, CA 94558-2910 | 2009-06-24 |
| 1326206533 | Maryam Mohsenzadeh | Dentist | 22 Old Coach Rd, Napa, CA 94558-3857 | 2008-05-26 |
| 1477746949 | John William Daw | Dentist | 1011 Professional Dr Ste B, Napa, CA 94558-6413 | 2007-08-19 |
| 1609068147 | Russell Henry Lee | Dentist | 3277 Dry Creek Rd, Napa, CA 94558-9663 | 2007-08-17 |
| 1083774186 | John Grant Woodward | Dentist | 1824 Second St, Napa, CA 94559 | 2006-12-11 |
| 1235220724 | Charles E Stratton | Dentist | 2119 Jefferson St, Napa, CA 94559-1211 | 2006-09-27 |
| 1669485470 | Monroe Katz | Dentist | 1544 Jefferson St, Suite A, Napa, CA 94559 | 2006-08-14 |
| Find all providers in NAPA | ||||
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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.