SAN GABRIEL DENTAL PRACTICE (NPI# 1912300427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912300427 |
| Entity Type | Organization |
| Organization Name | SAN GABRIEL DENTAL PRACTICE |
| Practice Address |
3534 W Beverly Blvd Montebello CA 90640-1541 |
| Practice Telephone | 3237285786 |
| Practice Fax Number | 3237288859 |
| Mailing Telephone | 3237285786 |
| Mailing Fax Number | 3237288859 |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |
| Authorized Official Name | DR. MARTIN GABRIEL REYES I (PRESIDENT) |
| Authorized Official Telephone | 3237285786 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
46945 | CA | Ambulatory Health Care Facilities |
| Street Address |
3534 W BEVERLY BLVD |
| City | MONTEBELLO |
| State | CA |
| Zip Code | 90640-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619184223 | Martin G Reyes | Dentist | 3534 W Beverly Blvd, Montebello, CA 90640 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242901 | Marie-christine Wiltord | Marriage & Family Therapist | 1447 W. Beverly Blvd., Montebello, CA 90640 | 2020-07-08 |
| 1366093668 | Ana Lesly Tavira-nava | Student in an Organized Health Care Education/Training Program | 3316 W. Beverly Blvd., Montebello, CA 90640 | 2019-09-27 |
| 1952803256 | America Alaniz | Marriage & Family Therapist | 3524 1/4 W. Beverly Blvd., Montebello, CA 90640 | 2018-03-02 |
| 1669987913 | Tender Loving Hospice Care, Inc. | Hospice Care, Community Based | 3528 W Beverly Blvd, Suite D, Montebello, CA 90640 | 2017-12-08 |
| 1518472869 | Healing Angels Nursing Services, Inc. | Home Health | 3538 W Beverly Blvd, Suite C, Montebello, CA 90640 | 2017-12-08 |
| 1427579143 | Paul Gonzales | Specialist/Technologist | 1525 Via Palermo, Montebello, CA 90640 | 2017-07-03 |
| 1942720859 | Rachel Lu | Pharmacist | 800 W. Whittier Blvd., Montebello, CA 90640 | 2017-06-21 |
| 1194254508 | Jill Tanigawa | Pharmacist | 2525 W Via Campo, Montebello, CA 90640 | 2017-06-08 |
| 1619406121 | Nutrition Care Consulting | Dietitian, Registered | 2605 Beverly Blvd, Montebello, CA 90640 | 2017-06-08 |
| 1992165815 | Hope Artificial Limb & Brace,llc | Prosthetic/Orthotic Supplier | 2609 W. Beverly Blvd #3, Montebello, CA 90640 | 2016-03-04 |
| Find all providers in zip 90640 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750937678 | Patrick Kang Dds Dental Group | Clinic/Center | 1013 W Beverly Blvd, Montebello, CA 90640-4138 | 2019-08-15 |
| 1417515008 | Koshki and Naminik Dental Corp | Clinic/Center | 711 W Whittier Blvd, Montebello, CA 90640-4709 | 2019-05-30 |
| 1205494895 | Vahid Yahoodain Dds Apc | Clinic/Center | 711 W Whittier Blvd, Montebello, CA 90640-4709 | 2019-05-30 |
| 1770042616 | Montebello Dental Arts Dba Montebello Family Dental | Clinic/Center | 711 W Whittier Blvd, Montebello, CA 90640-4709 | 2019-03-19 |
| 1245718113 | Mehrabian Dds Inc | Clinic/Center | 249 E Beverly Blvd Ste A, Montebello, CA 90640 | 2018-08-02 |
| 1427572841 | Arjang Dental Corporation | Clinic/Center | 415 W Beverly Blvd Ste B, Montebello, CA 90640-3667 | 2017-07-27 |
| 1114460557 | Dennis K Kuwaye Jr Dds Inc | Clinic/Center | 2533 Via Campo, Montebello, CA 90640-1806 | 2016-12-01 |
| 1578992368 | Collin Tsai | Clinic/Center | 415 W Beverly Blvd, Montebello, CA 90640-3667 | 2013-11-02 |
| 1578863395 | S. Ghazarian Dds., Inc. | Clinic/Center | 433 N Montebello Blvd, Montebello, CA 90640-4222 | 2010-10-26 |
| 1932397981 | Daniel A. Farkas, Dds, Inc. | Clinic/Center | 3301 W Beverly Blvd, Montebello, CA 90640-1536 | 2007-10-03 |
| Find all providers in MONTEBELLO | ||||
| City | MONTEBELLO |
| Zip Code | 90640 |
Please comment or provide details below to improve the information on SAN GABRIEL DENTAL PRACTICE.
| 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.