MR. CHARLES R STUCKEN SR. (NPI# 1902884125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902884125 |
| Entity Type | Individual |
| Full Name | MR. CHARLES R STUCKEN SR. |
| Credential | DDS |
| Practice Address |
8847 Imperial Hwy Suite C-2 Downey CA 90242 |
| Practice Telephone | 5628614011 |
| Practice Fax Number | 5628612601 |
| Mailing Telephone | 5628614011 |
| Mailing Fax Number | 5628612601 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 28992 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI CAL | B2899201 | 01 |
| Street Address |
8847 IMPERIAL HWY SUITE C-2 |
| City | DOWNEY |
| State | CA |
| Zip Code | 90242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710204011 | Dr Joo Acupuncture,inc | Health Maintenance Organization | 8847 Imperial Hwy, C-1, Downey, CA 90242-3958 | 2010-04-26 |
| 1447497185 | Jung Woo Joo | Acupuncturist | 8847 Imperial Hwy, C-1, Downey, CA 90242-3958 | 2009-01-16 |
| 1518062785 | Pedro Hiram Rodriguez | Dentist | 8847 Imperial Hwy, Ste. J, Downey, CA 90242-3958 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117182 | Andy Vo Osborne | Respiratory Therapist, Registered | 9333 E Imperial High Way, Downey, CA 90242 | 2020-09-04 |
| 1639783459 | Enrique Robles Soto | Behavior Technician | 12432 Bellflower Blvd., Downey, CA 90242 | 2020-08-31 |
| 1043842461 | Paul Yokoyama | Pharmacist | 9542 Dalen Street, Downey, CA 90242 | 2020-02-05 |
| 1639727837 | Demontay Deon High | Behavior Technician | 12342 Bellflower Blvd, Downey, CA 90242 | 2019-08-30 |
| 1467922328 | Nurisha Ficklin | Behavior Technician | 12342 Bellflower Blvd., Downey, CA 90242 | 2018-12-04 |
| 1235622358 | Marlene Castaneda | Occupational Therapist | 12555 Lakewood Blvd Ste D, Downey, CA 90242 | 2018-06-13 |
| 1942727383 | Arhtur Lozano | Non-emergency Medical Transport (VAN) | 13109 Woodruff Ave, Downey, CA 90242 | 2017-08-26 |
| 1336665983 | Laura E Del Val | Nurse Practitioner | 12207 Rives Ave, Downey, CA 90242 | 2017-08-16 |
| 1982127288 | Tiffany Chiyeko Yonemoto | Recreation Therapist | 7601 E. Imperial Hwy., Downey, CA 90242 | 2017-07-19 |
| 1265955504 | Julie Helgren | Recreation Therapist | 7601 E. Imperial Highway, Jpi Building Rm 1124, Downey, CA 90242 | 2017-07-19 |
| Find all providers in zip 90242 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356758346 | Ryan Brady Barlow | General Practice | 11942 Paramount Blvd Ste 101, Downey, CA 90242-2306 | 2014-07-22 |
| 1417192147 | Jamaal D. El-khal, M.d., Inc. | General Practice | 8132 Firestone Blvd, Suite#856, Downey, CA 90241-4231 | 2008-12-09 |
| 1912190299 | Esther Alonso Rosario | General Practice | 7343 Hannon St, Downey, CA 90240 | 2007-08-21 |
| 1346260569 | Venancio E Prado | General Practice | 7444 Florence Ave Ste G, Downey, CA 90240-3600 | 2006-07-20 |
| 1194797381 | Ragaa Z Iskarous Md Inc | General Practice | 11411 Brookshire Ave, #201, Downey, CA 90241 | 2006-02-02 |
| 1225491038 | Allsafe Medical Group Foundation | General Practice | 8077 Florence Ave, Suite#112, Downey, CA 90240-3826 | 2016-03-30 |
| 1386822245 | Gregory Thomas Ochoa | General Practice | 8311 Florence Ave, Downey, CA 90240-3928 | 2008-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| 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.