DR. SRIDEVI PONNALA (NPI# 1841365863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841365863 |
| Entity Type | Individual |
| Full Name | DR. SRIDEVI PONNALA |
| Credential | DDS |
| Practice Address |
22331 Mission Blvd Hayward CA 94541-3911 |
| Practice Telephone | 5104715907 |
| Practice Fax Number | 5103241359 |
| Mailing Telephone | 5104715907 |
| Mailing Fax Number | 5103241359 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2016-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
53026 | CA | Dental Providers |
| Street Address |
22331 MISSION BLVD |
| City | HAYWARD |
| State | CA |
| Zip Code | 94541-3911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538259395 | Chiaven Phen | Dentist | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2006-10-13 |
| 1770197360 | Ana Salazar Martinez | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2020-09-01 |
| 1184236861 | Lauren Winokur Plate | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2020-08-23 |
| 1952942955 | Lauren L Anderson | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2019-10-01 |
| 1629639984 | Tamana Mehdavi | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2019-06-26 |
| 1417515412 | Nathan Ashley Wilkinson | Registered Nurse | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2019-06-04 |
| 1235697558 | Charlene Lumanlan | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2019-03-05 |
| 1205303260 | Jennifer Houser | Dietitian, Registered | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2018-10-29 |
| 1093296840 | Gabriela Maria Chica | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2018-08-28 |
| 1578042701 | Kallyn Rogers | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541 | 2018-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264442 | Shraddha P Kalgutkar | Occupational Therapist | Windsor Garden Center of Hayward, 1628 B St, Hayward, Ca 94541, Hayward, CA 94541 | 2020-01-14 |
| 1770068215 | Kiran Prasad | Behavior Technician | 1151 A Street, Hayward, Hayward, CA 94541 | 2018-10-01 |
| 1053813287 | Sarra Elizabeth Marin | Behavior Technician | 19261 Medford Ct, Hayward, CA 94541 | 2018-03-03 |
| 1679073803 | Mark Basta | Optometrist | 1237 B St., Hayward, CA 94541 | 2018-02-14 |
| 1417478389 | James Steven Quinn | Counselor | 590 B Street, Hayward, CA 94541 | 2017-06-30 |
| 1689103020 | Natalie Limm | Psychologist | 25099 Oakridge Court, Hayward, CA 94541 | 2017-06-08 |
| 1760911739 | David Patrick Mcguinness | Counselor | 490 B Street, Hayward, CA 94541 | 2017-06-05 |
| 1891235859 | Alzheimer's Services of The East Bay, Incorporated | Clinic/Center | 1105 Walpert Street, Hayward, CA 94541 | 2017-02-24 |
| 1013463629 | Diana Consuelo Rais | Social Worker | 1065 A. Street, Hayward, CA 94541 | 2016-09-01 |
| 1417303934 | Maria Hernandez | Social Worker | 22211 Foothill Blvd., Hayward, CA 94541 | 2016-05-13 |
| Find all providers in zip 94541 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154813954 | Chandler Roemer | Dentist | 15954 Rivers Edge Dr Ste 304, Hayward, WI 54843-7894 | 2018-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740216 | Thomas Robert Matthew Simpson | Dentist | 1387 Kirsten Ct, Red Bluff, CA 96080-4905 | 2020-11-05 |
| 1629683339 | Jisoo Choe | Dentist | 232 E 2nd St Apt 451, Los Angeles, CA 90012-4098 | 2020-09-10 |
| 1831703479 | Seville Dental Group, Inc. | Dentist | 7705 Seville Ave Ste A, Huntington Park, CA 90255-6570 | 2020-09-01 |
| 1114537842 | Sepideh Rahmani | Dentist | 945 Orchard Creek Ln Ste 200, Lincoln, CA 95648-8473 | 2020-08-06 |
| 1861018160 | Dentists On Wheels | Dentist | 2210 Gladstone Dr, Pittsburg, CA 94565-5101 | 2020-06-22 |
| 1558997148 | S. Safarian Dmd Inc | Dentist | 955 Boardwalk Ste 304, San Marcos, CA 92078-2659 | 2020-03-16 |
| 1902455884 | Aileen Arce Dds Incorporated | Dentist | 345 F St Ste 140, Chula Vista, CA 91910-2632 | 2019-09-04 |
| 1972156420 | Jessica R Yang | Dentist | 6950 Santa Teresa Blvd Ste D, San Jose, CA 95119-1300 | 2019-07-23 |
| 1447811070 | Roop Mayall | Dentist | 1215 Plumas St Ste 52, Yuba City, CA 95991-3492 | 2019-06-25 |
| 1699242933 | Albert Young | Dentist | Naval Medical Ctr Bob Wilson Dr, San Diego, CA 92134-0001 | 2018-10-25 |
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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.