EDWIN OSMAND PERALTA I
Student in an Organized Health Care Education/Training Program

Address: 339 E Leland Rd, Pittsburg, CA 94565-4911

EDWIN OSMAND PERALTA I (NPI# 1164002390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164002390
Entity Type Individual
Full Name DR. EDWIN OSMAND PERALTA I
Gender Male
Credential D.D.S
Practice Address 339 E Leland Rd
Pittsburg
CA 94565-4911
Practice Telephone 9253632000
Mailing Address 7304 Gloria Ave
Van Nuys
CA 91406-3026
Mailing Telephone 8188606410
Certification Date 2021-04-06
Enumeration Date 2021-04-12
Last Update Date 2021-04-12
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 390200000X Student in an Organized Health Care Education/Training Program 193200000X MULTI-SPECIALTY GROUP Student, Health Care

Office Location

Street Address 339 E LELAND RD
City PITTSBURG
State CA
Zip Code 94565-4911

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538262738 Alan R Smiler Dentist - General Practice 339 E Leland Rd, Pittsburg, CA 94565-4911 2006-09-06
1508004466 Riza Flores Santos Dentist 339 E Leland Rd, Pittsburg, CA 94565-4911 2009-01-30
1942244728 Lady Fatima Pineda Lam · Lady Fatima Ramos Pineda Dentist 339 E Leland Rd, Pittsburg, CA 94565-4911 2006-06-15
1235635418 Kelly Kim Nguyen Dentist 339 E Leland Rd, Pittsburg, CA 94565-4911 2018-04-05
1932736774 Ebony Shardae Helaire Student in an Organized Health Care Education/Training Program 339 E Leland Rd, Pittsburg, CA 94565-4911 2020-03-23
1639756224 Theresa Kim Student in an Organized Health Care Education/Training Program 339 E Leland Rd, Pittsburg, CA 94565-4911 2021-03-28
1528080470 La Clinica De La Raza Inc · La Clinica Pittsburg Dental Clinic/Center - Dental 339 E Leland Rd, Pittsburg, CA 94565-4911 2006-07-23
1427550813 Jaclyn Young Dentist 339 E Leland Rd, Pittsburg, CA 94565-4911 2018-03-01
1952758823 Thelma Porras-Guaderrama Dental Hygienist 339 E Leland Rd, Pittsburg, CA 94565-4911 2016-05-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154772655 Lmc Dental Dentist 337 E Leland Rd, Pittsburg, CA 94565-4911 2016-06-27
1083894877 Rina Campbell Dentist - Endodontics 337 E Leland Rd, Pittsburg, CA 94565-4911 2007-11-08
1184251092 Kyle Kitasoe Student in an Organized Health Care Education/Training Program 337 E Leland Rd, Pittsburg, CA 94565-4911 2020-03-23
1255603007 Cynthia Kay Morford Dentist 337 E Leland Rd, Pittsburg, CA 94565-4911 2012-02-08
1245403054 Catherine Hoang Oanh Do Dentist 337 E Leland Rd, Pittsburg, CA 94565-4911 2008-04-12
1790947976 Gordon San Lai Dentist 337 E. Leland Road, Pittsburg, CA 94565-4911 2008-06-27
1104830728 Gregory S Castillo Chiropractor 337 E Leland Rd, Pittsburg, CA 94565-4911 2006-07-28
1215396411 Gianna Cristina Ligouri Lum Dentist 337 E Leland Rd, Pittsburg, CA 94565-4911 2016-02-16
1891127247 Ujima Family Recovery Services · Ujima East Outpatient Program Counselor - Addiction (Substance Use Disorder) 369 E Leland Rd, Pittsburg, CA 94565-4911 2013-08-07
1225275506 Eleanor J Walker Counselor - Mental Health 327 E Leland Rd # C, Pittsburg, CA 94565-4911 2009-01-08
Find all in zip 94565-4911

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1497230726 Rosa Maria Gonzalez Behavioral Analyst 198 Alberts Ave, Bay Point, CA 94565 2018-10-02
1053765115 Laura Bridge Counselor - Addiction (Substance Use Disorder) 2127 Lakeview Cir, Pittsburg, CA 94565 2016-04-14
1023530698 Adm Medical Transport LLC Non-emergency Medical Transport (VAN) 2714 Montego Bay St, Pittsburg, CA 94565 2017-07-14
1396179040 Sukh Chauhan · Sukhpreet Kaur Dentist - General Practice 4020 Railroad Ave, Pittsburg, CA 94565 2013-08-29
1356875645 Erika Morales Behavior Technician 131 Enes Ave, Bay Point, CA 94565 2017-04-13
1437740677 Akpevweoghene Rume Sagua Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1617 Canyon Drive Pinole, Pinole, CA 94565 2021-01-31
1285120592 Vanessa Fregoso Behavioral Analyst 2275 Southwood Dr., Pittsburg, CA 94565 2018-07-10
1386287902 Diamond Redus Behavior Technician 2328 Loveridge Rd Apt 209, Pittsburg, CA 94565 2019-10-27
1083055917 Jessica Lee Lactation Consultant, Non-RN 1006 Mepham Dr, Pittsburg, CA 94565 2013-07-08
1023540994 Guadalupe Madrigal Dentist 337 E Leland Rd, Pittsburg, CA 94565 2017-03-30
Find all in zip 94565

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457959173 Kaitlin Dougherty Student in an Organized Health Care Education/Training Program 163 Alturas Ave, Pittsburg, CA 94565-5883 2020-10-14
1578172250 Mallory Kate Revell Student in an Organized Health Care Education/Training Program 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 2020-07-28
1245849967 Shelbie Cosby Student in an Organized Health Care Education/Training Program 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 2020-07-28
1013576495 Marco Louis Pilotta Student in an Organized Health Care Education/Training Program 3501 Terrace Street, G-32 Salk Hall, Pittsburg, PA 15261 2019-06-10
1952837213 Peter William Zak Student in an Organized Health Care Education/Training Program 1400 Locus St, Ermire Suite 6511, Pittsburg, PA 15213 2017-05-05
1740644988 Monica Schointuch · Monica Kobelinski Student in an Organized Health Care Education/Training Program 3600 Forbes Avenue Forbes Tower-Plaza Level Suite 140, Pittsburg, PA 15213 2016-04-13
1356717813 Marcus Martinez Student in an Organized Health Care Education/Training Program 2221 Alderbrook Way, Pittsburg, CA 94565-7306 2015-08-18
1992031629 Ilke Kadioglu Student in an Organized Health Care Education/Training Program 555 School St # 94565, Pittsburg, CA 94565-3937 2009-10-30
1528224805 Emily Anne Anderson · Emily Anne Flood Student in an Organized Health Care Education/Training Program 555 School Street, Pittsburg, CA 94565-2853 2008-08-06
1164091740 Lavanta Green Student in an Organized Health Care Education/Training Program 51 Marina Blvd, Pittsburg, CA 94565-2068 2021-06-18
Find all providers in PITTSBURG

Competitor

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City PITTSBURG
Zip Code 94565

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Dataset Information

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.