HADI DAOUD HAMDAN DENTAL CORPORATION (NPI# 1912430778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912430778 |
| Entity Type | Organization |
| Organization Name | HADI DAOUD HAMDAN DENTAL CORPORATION |
| Practice Address |
3171 Serena Ave Clovis CA 93619-9567 |
| Practice Telephone | 5593127874 |
| Practice Fax Number | 5593256772 |
| Mailing Telephone | 5593127874 |
| Mailing Fax Number | 5593256772 |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2017-04-09 |
| Authorized Official Name | HADI DAOUD HAMDAN (PRESIDENT) |
| Authorized Official Telephone | 5593127874 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 47901 | CA | Managed Care Organizations |
| Street Address |
3171 SERENA AVE |
| City | CLOVIS |
| State | CA |
| Zip Code | 93619-9567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922145044 | Hadi D Hamdan | Dentist | 3171 Serena Ave, Clovis, CA 93619-3938 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639557655 | Esperanza Therapy Services, LLC | Community/Behavioral Health | 3293 Whiteash, Clovis, CA 93619 | 2015-05-11 |
| 1063828960 | Rose Scott | Rehabilitation Practitioner | 3675 Richmond Avenue, Clovis, CA 93619 | 2014-07-11 |
| 1538458237 | Paula Y. Mouanoutoua | Pharmacist | 1544 N. Cherrylane, Clovis, CA 93619 | 2011-04-04 |
| 1114041795 | Anagha Pathak | Contractor | 776 W Siena Ln, Clovis, CA 93619 | 2007-03-19 |
| 1497742555 | Mohammad H Rahman | Allergy & Immunology | 12365 N Via Tuscania, Clovis, CA 93619 | 2005-10-04 |
| 1285771238 | Iulia Vorobchevici | Dentist | 1305 N Willow Ave, Suite 110, Clovis, CA 93619 | 2007-01-31 |
| 1316194368 | Carlo Magno Arriba Paderna | Dentist | 1627 N Karen Ave, Clovis, CA 93619-0406 | 2008-08-21 |
| 1871952317 | Brenda Louise Munoz | Physical Therapy Assistant | 513 W Prescott Ave, Clovis, CA 93619-0423 | 2016-02-12 |
| 1023277126 | Rosa Petrosian | Non-emergency Medical Transport (VAN) | 2471 Deauville Cir, Clovis, CA 93619-2828 | 2008-06-03 |
| 1831463330 | H & A Medical Transportation | Non-emergency Medical Transport (VAN) | 2471 Deauville Cir, Clovis, CA 93619-2828 | 2012-02-29 |
| Find all providers in zip 93619 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1427516681 | Klifford T Kapus Dds., Msd A Dental Corporation | Point of Service | 4200 East Ave Ste 100, Livermore, CA 94550-4945 | 2019-03-06 |
| 1821553850 | Reginald Washington | Point of Service | 2733 Lemon Grove Ave, Lemon Grove, CA 91945-2938 | 2019-02-04 |
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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.