DR. JEREMY WILGUS (NPI# 1790836971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790836971 |
| Entity Type | Individual |
| Full Name | DR. JEREMY WILGUS |
| Credential | D.D.S. |
| Practice Address |
3801 Las Posas Rd Suite 205 Camarillo CA 93010-1427 |
| Practice Telephone | 8053881730 |
| Practice Fax Number | 8053882994 |
| Mailing Telephone | 8053881730 |
| Mailing Fax Number | 8053882994 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
51529 | CA | Dental Providers |
| Street Address |
3801 LAS POSAS RD SUITE 205 |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010-1427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770585283 | Ronald Keith Hunter | Dentist | 3801 Las Posas Rd, Suite 205, Camarillo, CA 93010-1427 | 2005-08-15 |
| 1366978207 | Suzanne Lingl | Registered Nurse | 3801 Las Posas Rd, 214, Camarillo, CA 93010 | 2017-05-11 |
| 1104203314 | County of Ventura | Clinic/Center | 3801 Las Posas Rd, Suite 106b, Camarillo, CA 93010-1427 | 2015-04-27 |
| 1447687041 | Ray Ruiz | Physician Assistant | 3801 Las Posas Rd, Camarillo, CA 93010-1427 | 2013-09-27 |
| 1497001879 | Emily Walls | Nurse Practitioner | 3801 Las Posas Rd, Suite 214, Camarillo, CA 93010-1426 | 2012-08-03 |
| 1356648067 | Robin Christopher Harkins | Chiropractor | 3801 Las Posas Rd, Suite 114, Camarillo, CA 93010-1427 | 2011-02-15 |
| 1487967907 | Ardent Medical Group | Internal Medicine | 3801 Las Posas Rd, Suite #211, Camarillo, CA 93010-1427 | 2010-07-26 |
| 1710219662 | Ventura Eye Institute, Inc | Specialist | 3801 Las Posas Rd, Suite 112, Camarillo, CA 93010-1427 | 2010-02-03 |
| 1265698518 | Omega Edwards Md Inc | Internal Medicine | 3801 Las Posas Rd, Suite 106-b, Camarillo, CA 93010-1427 | 2008-08-05 |
| 1720250533 | Veselak Chiropractic, Corporation | Chiropractor | 3801 Las Posas Rd, #114, Camarillo, CA 93010-1427 | 2008-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
| 1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
| 1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
| 1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
| 1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
| 1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
| Find all providers in zip 93010 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578992830 | Richard Hunter | Dentist | 2516 La Sierra Ct, Camarillo, CA 93012-8812 | 2013-11-07 |
| 1972699676 | Mario Raul Caballero | Dentist | 400 Rosewood Ave, Suite 204, Camarillo, CA 93010-5932 | 2006-10-04 |
| 1770585283 | Ronald Keith Hunter | Dentist | 3801 Las Posas Rd, Suite 205, Camarillo, CA 93010-1427 | 2005-08-15 |
| 1144352766 | John P. Endow | Dentist | 450 Rosewood Ave, Suite 105, Camarillo, CA 93010-5914 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
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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.