Mobilia Dmd Inc. (NPI# 1205212586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1205212586 |
| Entity Type | Organization |
| Organization Name | MOBILIA DMD INC. |
| Other Organization Name | RANCHO BERNARDO COSMETIC AND FAMILY DENTAL |
| Practice Address |
12405 Rancho Bernardo Rd. San Diego CA 92128 |
| Practice Telephone | 8583851838 |
| Practice Fax Number | 8583851882 |
| Mailing Address |
12405 Rancho Bernardo Rd San Diego CA 92128-2143 |
| Mailing Telephone | 8583851838 |
| Mailing Fax Number | 8583851882 |
| Authorized Official Name | Dr. John Authur Mobilia (OWNER) |
| Authorized Official Telephone | 8583851838 |
| Authorized Official Credential | DMD |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 305S00000X | Point of Service | Managed Care Organizations | 45924 | CA |
| Other Name | Type Code |
|---|---|
| rancho bernardo cosmetic and family dental | Doing Business As Name - Organization |
| 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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| Find all providers in SAN DIEGO | ||||
| Street Address |
12405 RANCHO BERNARDO RD. |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavior Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| 1730595570 | Charity Fluegge | Developmental Therapist | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128 | 2014-07-01 |
| Find all providers in zip 92128 | ||||
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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.