Dentist Providers In San Diego, California
Search or browse through the NPI records of dentist registered healthcare providers with a business address in San Diego, CA. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 1967, of which 458 are registered as organizations and 1,509 as individuals. A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
77% Individual Providers (1,509)23% Medical Organizations (458)29% Female Providers (574)48% Male Providers (935)
Map of Providers
We have mapped the Dentist providers in San Diego, CA to visually represent the practice location of each individual or organization. Click on any of the the pins to see the provider details at that location.
List of Providers
| NPI | Name | Address | Insurance | Medicare | PECOS |
|---|---|---|---|---|---|
| 1003000233 | ROBERT SELIS DDS.INC (Organization) | 3530 CAMINO DEL RIO N 109 SAN DIEGO, CA 92108 (619) 283-2093 | Non-Participating Provider | NO | |
| 1003012402 | LAM CHITTAPHONG (Individual) | 9888 CARROLL CENTRE RD SUITE #120 SAN DIEGO, CA 92126 (858) 722-6332 |
| Non-Participating Provider | NO |
| 1003120148 | ELMIRA KHODAPANAH DDS INC (Organization) | 2333 CAMINO DEL RIO S STE 140 SAN DIEGO, CA 92108 (619) 574-1810 | Non-Participating Provider | NO | |
| 1003161969 | MALIEKA TRINEE JOHNSON (Individual) | 4784 MUIR AVE SAN DIEGO, CA 92107 (619) 518-9000 | Maybe Accepts Medicare | YES | |
| 1003226317 | KERI EILEEN SILVA (Individual) | 814 MORENA BLVD STE 202 SAN DIEGO, CA 92110 (619) 294-3273 |
| Non-Participating Provider | YES |
| 1003299892 | ROYA MIRKHAN,DMD,MSD,INC. (Organization) | 12395 EL CAMINO REAL SUITE NUMBER 314 SAN DIEGO, CA 92130 (858) 337-6264 | Non-Participating Provider | NO | |
| 1003301169 | REESOR DENTAL GROUP, PC (Organization) | 11968 BERNARDO PLAZA DR SAN DIEGO, CA 92128 (858) 521-0000 |
| Non-Participating Provider | NO |
| 1003326224 | DR. HOSS, A PROFESSIONAL CORPORATION (Organization) | 11943 EL CAMINO REAL STE 200 SAN DIEGO, CA 92130 (858) 336-8478 |
| Non-Participating Provider | NO |
| 1003507633 | JONATHAN KIM (Individual) | 2050 EL CAJON BLVD SAN DIEGO, CA 92104 (619) 637-9774 | Non-Participating Provider | NO | |
| 1003528738 | GHASSAN ADNAN JABBAR JAYYAR (Individual) | 286 EUCLID AVE STE 201 SAN DIEGO, CA 92114 (619) 263-6683 |
| Non-Participating Provider | YES |
| 1003823899 | HEMAMALINI SRINIVASAN (Individual) | 4921A CLAIREMONT DR SAN DIEGO, CA 92117 (858) 272-7300 |
| Non-Participating Provider | YES |
| 1003832577 | STANLEY LAWRENCE BAQUIAL (Individual) | 3737 MORAGA AVE STE B309 SAN DIEGO, CA 92117 (858) 581-3641 | Non-Participating Provider | NO | |
| 1003892688 | WAYNE B LAPETODA (Individual) | 4786 SEDA DR SAN DIEGO, CA 92124 (619) 890-0923 | Non-Participating Provider | NO | |
| 1003905068 | DUY DUC NGUYEN (Individual) | 3078 UNIVERSITY AVE SAN DIEGO, CA 92104 (619) 295-8891 |
| Non-Participating Provider | NO |
| 1003907940 | HAROLD BLOCK (Individual) | 5189 CLAIREMONT MESA BLVD SAN DIEGO, CA 92117 (858) 277-4764 | Non-Participating Provider | NO | |
| 1003937871 | BRIAN OLEKSY (Individual) | 306 WALNUT AVE STE 26 SAN DIEGO, CA 92103 (619) 299-3320 |
| Opted out of Medicare | YES |
| 1003953936 | SHANTI GOPALAN (Individual) | 13347 ENTREKEN AVE SAN DIEGO, CA 92129 (858) 740-6977 |
| Non-Participating Provider | NO |
| 1003956517 | JIMMY I WANG (Individual) | 10432 RESERVE DRIVE SUITE 110 SAN DIEGO, CA 92127 (858) 487-6428 | Non-Participating Provider | NO | |
| 1003985425 | JAMES SCOTT ROBBINS (Individual) | BRANCH DENTAL CLINIC, NAS NORTH ISLAND BOX 357037 SAN DIEGO, CA 92135 (619) 545-6395 | Non-Participating Provider | NO | |
| 1003996869 | SIA-ZOL, INC. (Organization) | 9330 MIRA MESA BLVD STE F SAN DIEGO, CA 92126 (858) 536-7005 | Non-Participating Provider | NO | |
| 1013039122 | SASSON BRUMAND (Individual) | 4242 CAMINO DEL RIO N SUITE 24 SAN DIEGO, CA 92108 (619) 640-3400 |
| Non-Participating Provider | NO |
| 1013045186 | ALEXANDER JAMES CORONDONI (Individual) | 7424 JACKSON DR STE 2 SAN DIEGO, CA 92119 (619) 461-9499 |
| Non-Participating Provider | NO |
| 1013053776 | ROBERT J. BEY, DDS, INC. (Organization) | 8787 COMPLEX DR SUITE 100 SAN DIEGO, CA 92123 (858) 279-2226 | Non-Participating Provider | NO | |
| 1013060185 | LARRY ALLEN OKMIN (Individual) | 10425 TIERRASANTA BLVD SUITE 205 SAN DIEGO, CA 92124 (858) 560-6374 | Non-Participating Provider | NO | |
| 1013075324 | DUN G THI PHUONG NGUYEN (Individual) | 3426 UNIVERSITY AVE SAN DIEGO, CA 92104 (619) 281-2186 |
| Non-Participating Provider | NO |
| 1013079722 | MICHAEL GLENN FOUST (Individual) | 4633 INGRAHAM ST STE A SAN DIEGO, CA 92109 (858) 272-3771 |
| Non-Participating Provider | NO |
| 1013086032 | WAYNE MICHAEL DEUTSCH (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8210 | Non-Participating Provider | NO | |
| 1013089978 | ANTON FUAD MISLEH (Individual) | 4320 GENESEE AVE SUITE 204 SAN DIEGO, CA 92117 (958) 268-1618 | Non-Participating Provider | YES | |
| 1013143429 | KIM ANH THI NGUYEN (Individual) | 11828 RANCHO BERNARDO RD STE 203 SAN DIEGO, CA 92128 (858) 798-5153 |
| Non-Participating Provider | YES |
| 1013190172 | PARVATHI POKALA DDS INCORPORATED (Organization) | 3737 MORAGA AVE STE B313 SAN DIEGO, CA 92117 (858) 274-0722 | Non-Participating Provider | NO | |
| 1013215987 | DAVID CHUN-TE YU (Individual) | 3141 TRINITY BAY PL SAN DIEGO, CA 92110 (215) 850-8695 |
| Non-Participating Provider | NO |
| 1013280189 | MRUDULA CHAMAKURA REPAKA (Individual) | 3660 EAGLE ST APT D SAN DIEGO, CA 92103 (619) 384-0743 |
| Non-Participating Provider | NO |
| 1013337138 | MICHELLE MAJO DDS, INC MICHELLE MAJO (Organization) | 10717 CAMINO RUIZ SUITE 150 SAN DIEGO, CA 92126 (858) 831-9288 |
| Non-Participating Provider | NO |
| 1013935683 | BRIAN T QUESNELL (Individual) | 306 WALNUT AVE SUITE 33 SAN DIEGO, CA 92103 (619) 295-3456 |
| Non-Participating Provider | NO |
| 1013978477 | DAVID P DEROSIER DDS INC (Organization) | 3019 EMERSON STREET SAN DIEGO, CA 92106 (619) 222-7400 | Non-Participating Provider | NO | |
| 1013980242 | RAND H NELSON (Individual) | 34800 BOB WILSON DR NMCSD, ATTN: MEDICAL STAFF SERVICES SAN DIEGO, CA 92134 (619) 532-6460 | Non-Participating Provider | NO | |
| 1013994672 | BEIHUA LU (Individual) | 3538 BOUGAINVILLE RD SAN DIEGO, CA 92155 (619) 437-2954 | Non-Participating Provider | NO | |
| 1023021094 | ANDREW SETH FIRTEL (Individual) | 3222 GOVERNOR DR SAN DIEGO, CA 92122 (858) 453-8520 | Non-Participating Provider | NO | |
| 1023116845 | NADER EHSANI (Individual) | 7695 CARDINAL CT SUITE 320 SAN DIEGO, CA 92123 (858) 277-8080 | Non-Participating Provider | NO | |
| 1023137478 | JAY AKEF (Individual) | 3737 MORAGA AVE STE B212 SAN DIEGO, CA 92117 (858) 490-9086 |
| Non-Participating Provider | NO |
| 1023140019 | SHAHIN SAFARIAN (Individual) | 4765 CARMEL MOUNTAIN RD SUITE 203 SAN DIEGO, CA 92130 (858) 755-8993 |
| Non-Participating Provider | NO |
| 1023153665 | MANJULA MUNIYAPPA (Individual) | 9888 CARMEL MOUNTAIN ROAD SUITE B SAN DIEGO, CA 92129 (858) 780-8870 |
| Non-Participating Provider | NO |
| 1023154804 | ROBERT FRANKLIN FRISBY (Individual) | 34800 BOB WILSON DR NMCSD SAN DIEGO, CA 92134 (619) 524-4010 | Non-Participating Provider | NO | |
| 1023158169 | PABLO LAZARO (Individual) | 2845 NIMITZ BLVD STE A SAN DIEGO, CA 92106 (619) 223-8179 |
| Non-Participating Provider | NO |
| 1023188646 | COLLINS AND LANDAU (Organization) | 3808 FRONT ST SAN DIEGO, CA 92103 (619) 295-2202 | Non-Participating Provider | NO | |
| 1023195617 | DAVID GUTHRIE FREEMAN (Individual) | 3095 CLAIREMONT DR SUITE A1 SAN DIEGO, CA 92117 (619) 276-3283 |
| Non-Participating Provider | NO |
| 1023216751 | SAN DIEGO SPECIALTY CARE (Organization) | 5638 MISSION CENTER RD #105 SAN DIEGO, CA 92108 (619) 293-3352 | Non-Participating Provider | NO | |
| 1023222130 | JOHN ARTHUR MOBILIA (Individual) | 10715 TIERRASANTA BLVD SUITE C SAN DIEGO, CA 92124 (858) 278-6444 |
| Non-Participating Provider | NO |
| 1023322468 | S. STEVEN PODSTRELENY, DDS, PC PARK BLVD ORAL SURGERY (Organization) | 4067 PARK BLVD SAN DIEGO, CA 92103 (619) 795-0154 | Non-Participating Provider | NO | |
| 1023443017 | ALEXA KIRKLAND (Individual) | 5210 BALBOA AVE A-2 SAN DIEGO, CA 92117 (619) 342-3577 |
| Non-Participating Provider | NO |
| 1023552197 | ARMIN HAGE DDS A DENTAL CORPORATION UNIVERSITY AVENUE DENTAL GROUP (Organization) | 6324 UNIVERSITY AVE SAN DIEGO, CA 92115 (619) 582-4224 | Non-Participating Provider | NO | |
| 1023662608 | ROBERT CARRARA (Individual) | 9912 CARMEL MOUNTAIN RD SAN DIEGO, CA 92129 (858) 538-9182 | Non-Participating Provider | NO | |
| 1023722089 | REBECCA LA (Individual) | 2171 ULRIC ST STE 100 SAN DIEGO, CA 92111 (858) 268-8188 |
| Non-Participating Provider | YES |
| 1023909975 | SHAWYAN YAZDANMEHR DDS PC (Organization) | 591 CAMINO DE LA REINA STE 412 SAN DIEGO, CA 92108 (619) 220-7475 | Non-Participating Provider | NO | |
| 1033102009 | HEATHER L GNAU (Individual) | BLDG 2495 MITSCHER WAY SAN DIEGO, CA 92145 (858) 577-1825 | Non-Participating Provider | NO | |
| 1033126677 | PABLO ENRIQUE LICIAGA (Individual) | 2115 BACON ST SAN DIEGO, CA 92107 (619) 224-2986 |
| Non-Participating Provider | NO |
| 1033146741 | STEPHEN M. SCHLIMMER (Individual) | 3350 LA JOLLA VILLAGE DR SAN DIEGO, CA 92161 (858) 552-7525 | Non-Participating Provider | NO | |
| 1033147905 | JOHN HENRY WINSTEN GELLES (Individual) | VA MEDICAL CENTER 3350 LA JOLLA VILLAGE DR SAN DIEGO, CA 92161 (858) 552-7525 | Non-Participating Provider | NO | |
| 1033180047 | GRETCHEN FOLK (Individual) | 34800 BOB WILSON DR LABORATORY DEPARTMENT, SUITE 305 SAN DIEGO, CA 92134 (619) 532-9341 | Opted out of Medicare | YES | |
| 1033207287 | ELLAMEH ALLAMEHZADEH (Individual) | 1333 CAMINO DEL RIO S #202 SAN DIEGO, CA 92108 (619) 260-4990 |
| Non-Participating Provider | NO |
| 1033217526 | AFSHAR AND HABASHI DENTAL CORPORATION TIERRASANTA DENTAL GROUP (Organization) | 10405 TIERRASANTA BLVD SAN DIEGO, CA 92124 (858) 492-3900 | Non-Participating Provider | NO | |
| 1033329149 | D. V. NGUYEN, D.D.S., CORP (Organization) | 4082 30TH ST SAN DIEGO, CA 92104 (619) 757-0079 |
| Non-Participating Provider | NO |
| 1033389945 | MAI-PHUONG NGUYEN HUYNH (Individual) | 4488 CONVOY ST SAN DIEGO, CA 92111 (619) 339-1188 | Non-Participating Provider | NO | |
| 1033397310 | NATHAN HIEN LE (Individual) | 4170 FAIRMOUNT AVE SAN DIEGO, CA 92105 (619) 280-3322 |
| Non-Participating Provider | YES |
| 1033427232 | ANNA GRINBERG AHANI (Individual) | 12395 EL CAMINO REAL STE 312 SAN DIEGO, CA 92130 (858) 259-0331 |
| Non-Participating Provider | YES |
| 1033441621 | ELONA ALEXANDROVNA GABALL (Individual) | 4735 CAMINITO LAPIZ SAN DIEGO, CA 92130 (505) 321-2613 |
| Non-Participating Provider | YES |
| 1033576251 | BRIAN DAVEY DDS INC. (Organization) | 7805 HIGHLAND VILLAGE PL STE G105 SAN DIEGO, CA 92129 (858) 538-8300 | Non-Participating Provider | NO | |
| 1033727722 | RIAZ M ALI (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-8038 | Non-Participating Provider | NO | |
| 1033807862 | SHINI REDDY (Individual) | 4533 COLLEGE AVE SAN DIEGO, CA 92115 (619) 380-2828 | Non-Participating Provider | NO | |
| 1033880182 | MONA LISA JABARI (Individual) | 11936 TIVOLI PARK ROW UNIT 2 SAN DIEGO, CA 92128 (858) 429-8855 |
| Non-Participating Provider | NO |
| 1033890199 | CLIFFORD GEE (Individual) | 1975 GARNET AVE STE E SAN DIEGO, CA 92109 (858) 866-0808 |
| Non-Participating Provider | YES |
| 1033970181 | ANKUR GANDHI, DDS INC. (Organization) | 2615 CLAIREMONT DR SAN DIEGO, CA 92117 (619) 821-0122 | Non-Participating Provider | NO | |
| 1043263320 | MARINA SHAPIRO (Individual) | 3651 4TH AVE SUITE 300 SAN DIEGO, CA 92103 (619) 294-4015 |
| Non-Participating Provider | NO |
| 1043295678 | JEROME NEREZ RAGADIO (Individual) | 3538 BOUGAINVILLE RD SAN DIEGO, CA 92155 (619) 437-2954 | Non-Participating Provider | NO | |
| 1043308240 | AFSANEH ZOKAEI (Individual) | 4276 54TH PL. #A SAN DIEGO, CA 92115 (619) 286-6909 |
| Non-Participating Provider | NO |
| 1043315708 | JEREMY NAGLE (Individual) | 10405 TIERRASANTA BLVD SAN DIEGO, CA 92124 (858) 492-9300 |
| Non-Participating Provider | NO |
| 1043318330 | ALEX BOHDAN BEREST (Individual) | 945 HORNBLEND STE A SAN DIEGO, CA 92109 (858) 270-6855 |
| Non-Participating Provider | NO |
| 1043326515 | ANDY LIANG TIEU (Individual) | 6790 TOP GUN ST SUITE #5 SAN DIEGO, CA 92121 (858) 831-0707 |
| Non-Participating Provider | NO |
| 1043331234 | ANITA VARZI (Individual) | 4295 GESNER ST SUITE 2E SAN DIEGO, CA 92117 (619) 276-9271 |
| Non-Participating Provider | NO |
| 1043337637 | DIANA KOLOKOWSKY (Individual) | 2318 6TH AVE SAN DIEGO, CA 92101 (619) 234-6349 | Non-Participating Provider | NO | |
| 1043351786 | JESSE PAUL PORTER (Individual) | 2310 CRAVEN ST NDMC 32ND ST. BLDG. 3230 SAN DIEGO, CA 92136 (619) 556-1581 | Non-Participating Provider | NO | |
| 1043359235 | HUONG LAN DUONG (Individual) | 16766 BERNARDO CENTER DRIVE STE 216 SAN DIEGO, CA 92128 (858) 675-9740 |
| Non-Participating Provider | NO |
| 1043361306 | MAREY E STONE (Individual) | 1850 CORONADO AVE SUITE 404 SAN DIEGO, CA 92154 (619) 423-1991 |
| Non-Participating Provider | YES |
| 1043368665 | MARK L EMERSON (Individual) | 3737 MORAGA AVE A-108 SAN DIEGO, CA 92117 (858) 274-4400 | Non-Participating Provider | NO | |
| 1043374630 | KOUROSH TAHMASEBI (Individual) | 6280 JACKSON DR STE 2 SAN DIEGO, CA 92119 (619) 667-3330 |
| Non-Participating Provider | NO |
| 1043412745 | ANTHONY TAI Q. PHAM, DDS, INC. (Organization) | 4240 KEARNY MESA RD SUITE #117 SAN DIEGO, CA 92111 (858) 499-8911 |
| Non-Participating Provider | NO |
| 1043513351 | RYAN DOUGLAS REYES (Individual) | 4778 MUIR AVE SAN DIEGO, CA 92107 (858) 373-8855 |
| Non-Participating Provider | NO |
| 1043573157 | ARYAN DENTAL CORP (Organization) | 4501 MISSION BAY DR STE 2E SAN DIEGO, CA 92109 (858) 270-6626 | Non-Participating Provider | NO | |
| 1043580079 | TAEYOUNG KIM (Individual) | 15731 BERNARDO HEIGHTS PKWY SUITE 101 SAN DIEGO, CA 92128 (858) 674-6813 |
| Non-Participating Provider | NO |
| 1043582687 | SUMUL QAISAR (Individual) | 12075 CARMEL MOUNTAIN RD STE 210 SAN DIEGO, CA 92128 (858) 487-6453 | Non-Participating Provider | NO | |
| 1043627318 | TIMOTHY R. GAROFOLO, DDS INC SAN DIEGO DENTISTRY STUDIO (Organization) | 11610 IBERIA PL STE 202 SAN DIEGO, CA 92128 (858) 451-2555 |
| Non-Participating Provider | NO |
| 1043639230 | DOUGLAS M GROSMARK DMD INCORPORATED (Organization) | 6398 DEL CERRO BLVD STE 1 SAN DIEGO, CA 92120 (619) 286-1181 | Non-Participating Provider | NO | |
| 1043639669 | SCOTT STROMMER (Individual) | 7510 HAZARD CENTER DR SUITE 203 SAN DIEGO, CA 92108 (619) 280-9100 | Non-Participating Provider | NO | |
| 1043746647 | AUDREY BUXTON LEE (Individual) | NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE SAN DIEGO, CA 92134 (619) 532-7935 | Non-Participating Provider | NO | |
| 1043795461 | YUNGHUI MELODY CHANG (Individual) | 7380 CLAIREMONT MESA BLVD STE 100 SAN DIEGO, CA 92111 (858) 715-8080 | Non-Participating Provider | NO | |
| 1043795818 | ARIOSTO MANRIQUE MORENO (Organization) | 1041 MARKET ST STE 165 SAN DIEGO, CA 92101 (619) 488-3200 | Non-Participating Provider | NO | |
| 1043909773 | ENGLISE CARDONE (Individual) | 4142 ADAMS AVE SAN DIEGO, CA 92116 (619) 326-0157 |
| Non-Participating Provider | NO |
| 1053301291 | HUSAM E ALDAIRI (Individual) | 6175 EL CAJON BLVD SAN DIEGO, CA 92115 (619) 583-4030 |
| Non-Participating Provider | NO |
| 1053318048 | SUSAN VIVIEN B CHADKEWICZ (Individual) | 16466 BERNARDO CENTER DR SUITE 150 SAN DIEGO, CA 92128 (858) 673-0552 |
| Non-Participating Provider | NO |
| 1053324772 | JUSTIN NATHANAEL NAYLOR (Individual) | 12264 EL CAMINO REAL STE 206 SAN DIEGO, CA 92130 (858) 755-4787 |
| Non-Participating Provider | NO |
| 1053350512 | EDWARD KELLY HOLLY (Individual) | 3340 KEMPER ST SUITE 201 SAN DIEGO, CA 92110 (619) 224-2828 |
| Opted out of Medicare | YES |
| 1053401505 | PHILIP SCOTT MCMAHAN (Individual) | 1829 SUNSET CLIFFS BLVD SAN DIEGO, CA 92107 (619) 223-1601 | Non-Participating Provider | NO | |
| 1053439257 | BARBARA ANN YOUNG (Individual) | 3764 CLAIREMONT DRIVE SAN DIEGO, CA 92117 (858) 273-7777 |
| Non-Participating Provider | NO |
| 1053441600 | RUBY CHAO REYES (Individual) | 9225 MIRA MESA BLVD SUITE 104 SAN DIEGO, CA 92126 (619) 536-9383 |
| Non-Participating Provider | NO |
| 1053454744 | JAMES PATRICK TASTO (Individual) | 4765 CARMEL MOUNTAIN RD SUITE #101 SAN DIEGO, CA 92130 (858) 523-1330 |
| Non-Participating Provider | NO |
| 1053461541 | LAURA WINFREY PLUE (Individual) | 4725 MARKET ST SAN DIEGO, CA 92102 (619) 515-2560 |
| Non-Participating Provider | YES |
| 1053467514 | TAE HUN CHUNG (Individual) | 8997 MIRA MESA BLVD SAN DIEGO, CA 92126 (858) 536-5550 |
| Non-Participating Provider | NO |
| 1053494583 | GREGG KEVIN JOHNSON (Individual) | 306 WALNUT AVE # 334 SAN DIEGO, CA 92103 (619) 297-6720 |
| Non-Participating Provider | NO |
| 1053520239 | WILLIAM DEAN NORDQUIST (Individual) | 2304 6TH AVE SAN DIEGO, CA 92101 (619) 236-7959 |
| Non-Participating Provider | NO |
| 1053521013 | SABINE ANITA PURPS (Individual) | 1764 SAN DIEGO AVE #130 SAN DIEGO, CA 92110 (619) 295-6500 | Non-Participating Provider | NO | |
| 1053528638 | COX DENTAL CORPORATION GENTLE DENTAL LA JOLLA (Organization) | 9339 GENESEE AVE STE 240 SAN DIEGO, CA 92121 (858) 552-1244 | Non-Participating Provider | NO | |
| 1053627554 | LINDA ANN LUKACS (Individual) | 4320 GENESEE AVENUE STE 207 SAN DIEGO, CA 92117 (858) 277-3910 | Non-Participating Provider | NO | |
| 1053710517 | ALEXANDROS MIHALIS REIZIAN (Individual) | 4711 MONROE AVE SAN DIEGO, CA 92115 (619) 284-1197 |
| Non-Participating Provider | NO |
| 1053757120 | RICHARD MICHAEL JOHNSON (Individual) | 9750 MIRAMAR RD SUITE 260 SAN DIEGO, CA 92126 (858) 566-5050 | Non-Participating Provider | NO | |
| 1053863928 | J YANG DENTAL CORPORATION (Organization) | 9855 ERMA RD SUITE 110 SAN DIEGO, CA 92131 (858) 578-2205 | Non-Participating Provider | NO | |
| 1063000206 | MICHAEL S SINGER DDS INC BERNARDO CENTER DENTISTRY (Organization) | 16766 BERNARDO CENTER DR STE 212 SAN DIEGO, CA 92128 (415) 480-4423 | Non-Participating Provider | NO | |
| 1063005783 | GRETTEL DELGADILLO ESPARZA (Individual) | 2225 MABUHAY WAY SAN DIEGO, CA 92154 (619) 410-6069 |
| Non-Participating Provider | NO |
| 1063063774 | KYOUNG WON HAN (Individual) | 43000 MIDWAY AVE BLDG 595 SAN DIEGO, CA 92140 (619) 524-4009 |
| Non-Participating Provider | NO |
| 1063068849 | MUZMML RAUFY (Individual) | 9750 MIRAMAR RD STE 380 SAN DIEGO, CA 92126 (858) 848-4180 |
| Non-Participating Provider | NO |
| 1063483840 | JENNIFER LYNN SMITH (Individual) | 34800 BOB WILSON DR NMCSD ATTN MEDICAL STAFF SERVICES SAN DIEGO, CA 92134 (619) 532-6460 |
| Non-Participating Provider | NO |
| 1063490639 | EDITHANN JENNINGS GRAHAM (Individual) | 1806 CABLE ST SAN DIEGO, CA 92107 (619) 226-4784 |
| Non-Participating Provider | NO |
| 1063506640 | STEVEN MATIS (Individual) | 34800 BOB WILSON DR. NMCSD SAN DIEGO, CA 92134 (619) 556-8191 | Non-Participating Provider | NO | |
| 1063535813 | JAMES WILSON JONES (Individual) | 1499 SUNSET CLIFFS BLVD SAN DIEGO, CA 92107 (619) 224-2210 |
| Non-Participating Provider | NO |
| 1063542611 | ROBERT J SANTORO (Individual) | 6244 EL CAJON BLVD STE 1 SAN DIEGO, CA 92115 (619) 583-1100 |
| Non-Participating Provider | YES |
| 1063576213 | WESTERN DENTAL SERVICES, INC. (Organization) | 3802 CLAIREMONT MESA BLVD SAN DIEGO, CA 92117 (858) 273-8300 | Non-Participating Provider | NO | |
| 1063587483 | KIRANDEEP PANATCH (Individual) | 3222 GOVERNOR DR SAN DIEGO, CA 92122 (858) 453-8520 |
| Non-Participating Provider | NO |
| 1063596435 | WIAM JABBAR (Individual) | 12125 ALTA CARMEL CT STE 330 SAN DIEGO, CA 92128 (858) 451-0908 |
| Non-Participating Provider | NO |
| 1063628022 | JAMES MAHOOTI (Individual) | 9450 SCRANTON RD SUITE 109 SAN DIEGO, CA 92121 (858) 457-8514 | Non-Participating Provider | NO | |
| 1063738920 | AMANDA BAKER GRAU (Individual) | 10715 TIERRASANTA BLVD SAN DIEGO, CA 92124 (513) 777-7883 |
| Non-Participating Provider | NO |
| 1063749844 | ROBERT W LEW (Individual) | 3365 ROSECRANS ST SUITE C SAN DIEGO, CA 92110 (619) 222-6000 |
| Non-Participating Provider | NO |
| 1063801447 | BITA TAHVILDARI (Individual) | 3588 4TH AVE STE 300 SAN DIEGO, CA 92103 (619) 295-5261 |
| Non-Participating Provider | NO |
| 1063832095 | CAVE & POTENTE (Organization) | 4065 3RD AVE STE 300 SAN DIEGO, CA 92103 (619) 298-2291 | Non-Participating Provider | NO | |
| 1063871853 | HOLLY NICOLE HINDERBERGER (Individual) | 2050 EL CAJON BLVD SAN DIEGO, CA 92104 (619) 637-9774 |
| Non-Participating Provider | YES |
| 1063873388 | DIXON ORTHODONTIC DENTAL GROUP (Organization) | 5627 OBERLIN DR STE 100 SAN DIEGO, CA 92121 (858) 455-9171 |
| Non-Participating Provider | NO |
| 1073008470 | MATTHEW RICHARD BOUFFORD (Individual) | 2310 CRAVEN ST BLDG 3230 SAN DIEGO, CA 92136 (619) 532-7935 | Non-Participating Provider | NO | |
| 1073091682 | NICHOLAS DOVEY (Individual) | 233 A ST STE 701 SAN DIEGO, CA 92101 (619) 232-3774 |
| Non-Participating Provider | NO |
| 1073120135 | REUEL MCINTYRE (Individual) | 2050 EL CAJON BLVD SAN DIEGO, CA 92104 (619) 637-9774 |
| Non-Participating Provider | YES |
| 1073164141 | KIMBALL DENTAL GROUP OF MISSION VALLEY, PC (Organization) | 8590 RIO SAN DIEGO DR STE 110 SAN DIEGO, CA 92108 (619) 299-1122 | Non-Participating Provider | NO | |
| 1073526794 | RENEE YOOSUN PARK (Individual) | 10255 BLACK MOUNTAIN RD #P4 SAN DIEGO, CA 92126 (510) 290-2260 |
| Non-Participating Provider | YES |
| 1073586301 | KEITH SONNIER (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6460 | Non-Participating Provider | NO | |
| 1073586723 | SCOTT WILLIAM COLBURN (Individual) | 34800 BOB WILSON DR NMCSD, ATTN: MEDICAL STAFF SERVICES SAN DIEGO, CA 92134 (619) 532-6460 | Non-Participating Provider | NO | |
| 1073605788 | JAMES ECKSTEIN (Individual) | 306 WALNUT AVE STE 26 SAN DIEGO, CA 92103 (619) 299-3320 |
| Opted out of Medicare | YES |
| 1073644308 | LORI ANN SAFAR, DDS INC. (Organization) | 4765 CARMEL MOUNTAIN RD SUITE 206 SAN DIEGO, CA 92130 (858) 481-8688 | Non-Participating Provider | NO | |
| 1073656997 | ERNEST WONG (Individual) | 4520 EXECUTIVE DR SUITE 200 SAN DIEGO, CA 92121 (858) 587-2828 | Non-Participating Provider | NO | |
| 1073663100 | ALEK A. ZAND (Individual) | 5830 OBERLIN DR STE 105 SAN DIEGO, CA 92121 (858) 546-1199 | Non-Participating Provider | NO | |
| 1073665212 | SANJAY DHIR (Individual) | 3226 GOVERNOR DR SAN DIEGO, CA 92122 (858) 453-4514 |
| Non-Participating Provider | NO |
| 1073688107 | FREDERICK WHITE HAMMOND (Individual) | 2878 CAMINO DEL RIO S SUITE 210 SAN DIEGO, CA 92108 (619) 298-2200 |
| Non-Participating Provider | YES |
| 1073706826 | DAVID WILLNER (Individual) | 1525 4TH AVE SAN DIEGO, CA 92101 (619) 795-1301 | Non-Participating Provider | NO | |
| 1073715967 | ROBERT W HYMES (Individual) | 3330 3RD AVE STE. 200 SAN DIEGO, CA 92103 (619) 692-9060 | Non-Participating Provider | NO | |
| 1073722633 | JONATHAN RUDIN (Individual) | 5471 CAMINITO EXQUISITO SAN DIEGO, CA 92130 (858) 792-4600 | Non-Participating Provider | NO | |
| 1073728010 | ERIC B FERRER (Individual) | 9373 MIRA MESA BLVD SAN DIEGO, CA 92126 (858) 586-7280 | Non-Participating Provider | NO | |
| 1073729430 | LINDA HUEY-SHANG CHAN (Individual) | 10715 TIERRASANTA BLVD SUITE C SAN DIEGO, CA 92124 (858) 278-6444 |
| Non-Participating Provider | NO |
| 1073734729 | TOURAN DAVOUDI DDS DENTAL CO. (Organization) | 5450 CLAIREMONT MESA BLVD SUITE C SAN DIEGO, CA 92117 (858) 503-6789 |
| Non-Participating Provider | NO |
| 1073769576 | MICHAEL W. GABLE (Individual) | 9855 ERMA RD SUITE 138 SAN DIEGO, CA 92131 (858) 549-9688 | Opted out of Medicare | YES | |
| 1073787347 | JAMES MISLA (Individual) | 3737 MORAGA AVE A208 SAN DIEGO, CA 92117 (858) 866-0656 |
| Non-Participating Provider | NO |
| 1073792230 | MARK PHILIP HAEGER (Individual) | 6244 EL CAJON BLVD STE 6 SAN DIEGO, CA 92115 (619) 583-2192 | Non-Participating Provider | YES | |
| 1073833844 | DAVID LYMAN NELSON (Individual) | 10717 CAMINO RUIZ STE 103 SAN DIEGO, CA 92126 (858) 536-1111 |
| Non-Participating Provider | NO |
| 1073863890 | FEMME AMBROSIO, DDS, MSD, INC (Organization) | 16918 DOVE CANYON RD SUITE 204 SAN DIEGO, CA 92127 (858) 451-5400 | Non-Participating Provider | NO | |
| 1073887667 | POISET DENTAL GROUP, APC (Organization) | 7930 FROST ST SUITE 101 SAN DIEGO, CA 92123 (858) 492-9977 | Non-Participating Provider | NO | |
| 1073914545 | SINAN ALHAMDI (Individual) | 12750 CARMEL COUNTRY RD STE 213 SAN DIEGO, CA 92130 (314) 532-3941 |
| Non-Participating Provider | NO |
| 1073966057 | KENNIE KWOK DMD, INC SAN DIEGO PERIODONTICS & IMPLANT DENTISTRY (Organization) | 4060 4TH AVE STE 303 SAN DIEGO, CA 92103 (619) 543-0905 | Non-Participating Provider | NO | |
| 1083002463 | ASHMORE DENTAL CORPORATION (Organization) | 4110 W POINT LOMA BLVD SAN DIEGO, CA 92110 (619) 701-6622 |
| Non-Participating Provider | NO |
| 1083022081 | THOMPSON AND AUDETTE DENTAL GROUP, INC. FRIENDS DENTAL GROUP (Organization) | 1761 PALM AVE SAN DIEGO, CA 92154 (619) 429-5151 | Non-Participating Provider | NO | |
| 1083023444 | HOLLY KATHERINE AGUIGAM (Individual) | 2619 CLAIREMONT DR SAN DIEGO, CA 92117 (424) 256-5192 |
| Non-Participating Provider | NO |
| 1083028773 | CHRISTINE LOUISE HAMMER (Individual) | 4765 CARMEL MOUNTAIN RD STE 210 SAN DIEGO, CA 92130 (858) 755-9511 |
| Non-Participating Provider | NO |
| 1083068878 | A.SABBAGH DDS INC. (Organization) | 6244 EL CAJON BLVD STE 8 SAN DIEGO, CA 92115 (619) 229-1400 |
| Non-Participating Provider | NO |
| 1083109813 | KEMIA LILLIAN ZEINALI (Individual) | 10585 STONY RIDGE WAY SAN DIEGO, CA 92131 (858) 335-7364 |
| Non-Participating Provider | NO |
| 1083134480 | JOSHUA W. JOHNSON (Individual) | 2841 RENDOVA RD SAN DIEGO, CA 92155 (619) 556-4157 | Non-Participating Provider | NO | |
| 1083156517 | BENNETT DENTAL CORPORATION APNEA & BREATHING CLINIC BENNETT DENTAL GROUP (Organization) | 5230 CARROLL CANYON RD STE 326 SAN DIEGO, CA 92121 (619) 494-5091 | Non-Participating Provider | NO | |
| 1083255111 | WAYNE DAVID GONZALES (Individual) | 8031 LINDA VISTA RD # 210 SAN DIEGO, CA 92111 (858) 268-5020 |
| Non-Participating Provider | NO |
| 1083374482 | DANICA CHARISMA MALLARI (Individual) | 2995 CLAIREMONT DR STE A SAN DIEGO, CA 92117 (858) 200-0827 |
| Non-Participating Provider | NO |
| 1083711154 | SOL LEE FLEMING (Individual) | 1857 CABLE ST SAN DIEGO, CA 92107 (619) 224-3391 |
| Non-Participating Provider | YES |
| 1083754725 | CATHERINE LE (Individual) | 2171 ULRIC ST STE 100 SAN DIEGO, CA 92111 (858) 268-8188 |
| Non-Participating Provider | NO |
| 1083777361 | CHRISTIE LYNN MARTINEZ (Individual) | 10299 SCRIPPS TRL SUITE F SAN DIEGO, CA 92131 (858) 578-0277 |
| Non-Participating Provider | NO |
| 1083796692 | GEOFFREY ROBERT KOPECKY (Individual) | 3820 CONVOY ST SAN DIEGO, CA 92111 (858) 569-1100 |
| Non-Participating Provider | YES |
| 1083821797 | HUSSEIN DHAYNI (Individual) | 5222 BALBOA AVE STE 72 SAN DIEGO, CA 92117 (858) 277-5141 | Non-Participating Provider | NO | |
| 1083823843 | HEIDI LOU KAMRATH (Individual) | 16466 BERNARDO CENTER DR SUITE 176 SAN DIEGO, CA 92128 (858) 676-6709 | Non-Participating Provider | NO | |
| 1083847792 | THE ART OF DENTISTRY (Organization) | 2840 FIFTH AVE STE 300 SAN DIEGO, CA 92103 (619) 291-4325 | Non-Participating Provider | NO | |
| 1083888499 | MICHELE YAMADA,DDS, INC OCEAN DENTAL CARE (Organization) | 1802 CABLE ST SAN DIEGO, CA 92107 (619) 223-3423 | Non-Participating Provider | NO | |
| 1083915664 | BENBASSAT DENTAL CORPORATION (Organization) | 4520 EXECUTIVE DR STE 340 SAN DIEGO, CA 92121 (858) 677-0661 | Non-Participating Provider | NO | |
| 1083932750 | ELHAMEH ALLAMEHZADEH DDS, INC. DR. ELLIE'S GENTLE DENTAL (Organization) | 2020 CAMINO DEL RIO N SUITE 101 SAN DIEGO, CA 92108 (858) 342-8881 |
| Non-Participating Provider | NO |
| 1083970008 | SHINYOUNG GOH (Individual) | 3200 ADAMS AVE STE 202 SAN DIEGO, CA 92116 (347) 463-2389 |
| Non-Participating Provider | NO |
| 1083973267 | ALAN HSIANG-SHANG CHEN (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-9193 | Non-Participating Provider | NO | |
| 1093047052 | MOHAMMED SIDDIQUE LAKHANI (Individual) | 4619 UNIVERSITY AVE SAN DIEGO, CA 92105 (619) 818-6253 |
| Non-Participating Provider | NO |
| 1093062093 | RICHARD ELIE SAWAYA (Individual) | 7224 MITSCHER WAY SAN DIEGO, CA 92145 (858) 307-1825 | Non-Participating Provider | NO | |
| 1093107492 | SHAGHAYEGH VAKILIAN (Individual) | 1761 PALM AVE SAN DIEGO, CA 92154 (619) 429-5151 | Non-Participating Provider | YES | |
| 1093157372 | LAKHANI D.D.S. INC (Organization) | 4655 CASS ST #100 SAN DIEGO, CA 92109 (858) 362-3540 |
| Non-Participating Provider | NO |
| 1093358525 | NATALYA CARMICHAEL DDS, INC (Organization) | 9728 CARMEL MOUNTAIN RD STE B SAN DIEGO, CA 92129 (858) 484-2560 |
| Non-Participating Provider | NO |
| 1093540403 | NIKHIL SUNIL PATEL (Individual) | 16516 BERNARDO CENTER DR STE 210 SAN DIEGO, CA 92128 (858) 779-9292 | Non-Participating Provider | NO | |
| 1093546079 | NHAT KHANH DENTISTRY INC. NHAT KHANH DENTISTRY (Organization) | 5296 UNIVERSITY AVE STE I SAN DIEGO, CA 92105 (619) 265-2262 | Non-Participating Provider | NO | |
| 1093554677 | JUSTIN N NAYLOR DDS PROFESSIONAL DENTAL CORP (Organization) | 12264 EL CAMINO REAL STE 206 SAN DIEGO, CA 92130 (858) 755-4787 | Non-Participating Provider | NO | |
| 1093558819 | KELVIN CHOU DDS, INC (Organization) | 6235 LUSK BLVD SAN DIEGO, CA 92121 (858) 558-3636 | Non-Participating Provider | NO | |
| 1093742652 | STEPHEN ROBERT LEE (Individual) | 480 ALTA RD SAN DIEGO, CA 92179 (619) 661-6500 | Non-Participating Provider | NO | |
| 1093813792 | TERENCE B PEGEL (Individual) | 6285 LUSK BLVD SAN DIEGO, CA 92121 (858) 755-3515 |
| Non-Participating Provider | NO |
| 1093854101 | CHAN KIM NGUYEN (Individual) | 3531 EL CAJON BLVD #A SAN DIEGO, CA 92104 (619) 584-8975 |
| Non-Participating Provider | NO |
| 1093854788 | THANH DUC NGUYEN (Individual) | 3531 EL CAJON BLVD STE A SAN DIEGO, CA 92104 (619) 584-8975 |
| Non-Participating Provider | NO |
| 1093857997 | VINCENT LE (Individual) | 5507 EL CAJON BLVD STE A SAN DIEGO, CA 92115 (619) 582-5364 | Non-Participating Provider | NO | |
| 1093871287 | CHAUR-CHOU CHENG (Individual) | 4194 CONVOY ST SAN DIEGO, CA 92111 (858) 569-1918 |
| Non-Participating Provider | NO |
| 1093899205 | ROLAND GOLDBERG (Individual) | 8915 TOWNE CENTRE DR STE#112-114 SAN DIEGO, CA 92122 (858) 558-7713 |
| Non-Participating Provider | NO |
| 1093965477 | JOANNE CANIO VARGAS-VELASCO (Individual) | 12580 RAGWEED STREET SAN DIEGO, CA 92129 (858) 335-6870 | Non-Participating Provider | YES | |
| 1104021906 | VAHEED BAYETTE (Individual) | 420 SPRUCE ST STE C SAN DIEGO, CA 92103 (619) 298-9839 | Non-Participating Provider | NO | |
| 1104027267 | LAWRENCE PAUL LOTZOF (Individual) | 3772 CLAIREMONT DR SAN DIEGO, CA 92117 (858) 272-4094 |
| Non-Participating Provider | NO |
| 1104034982 | JONATHAN C. NGUYEN, DDS, INC. NONE (Organization) | 4575 EL CAJON BLVD STE A SAN DIEGO, CA 92115 (619) 281-5569 | Non-Participating Provider | NO | |
| 1104126879 | BRIAN DEVERS (Individual) | 315 WALNUT AVE SAN DIEGO, CA 92103 (619) 297-2954 | Opted out of Medicare | YES | |
| 1104164888 | MARIO J OLIVOTTO (Individual) | 9855 ERMA RD SUITE 103 SAN DIEGO, CA 92131 (858) 578-0120 | Non-Participating Provider | NO | |
| 1104225994 | KAELY KANTARIS (Individual) | 4435 EASTGATE MALL #125 SAN DIEGO, CA 92121 (858) 546-7667 | Non-Participating Provider | NO | |
| 1104230747 | HUNG KHAI NGUYEN,D.D.S. ,INC (Organization) | 4712 EL CAJON BLVD STE G SAN DIEGO, CA 92115 (619) 521-0580 | Non-Participating Provider | NO | |
| 1104241017 | RONNY TRAN LE (Individual) | 5675 BALBOA AVE SAN DIEGO, CA 92111 (858) 268-0110 |
| Non-Participating Provider | YES |
| 1104267475 | TRUSKA SABIR MAHMOOD (Individual) | 6475 ALVARADO RD STE 205 SAN DIEGO, CA 92120 (619) 287-0990 |
| Non-Participating Provider | NO |
| 1104276104 | NASIM SAEEDI (Individual) | 11777 BERNARDO PLAZA CT STE 102 SAN DIEGO, CA 92128 (858) 487-7766 |
| Non-Participating Provider | NO |
| 1104501196 | ROBERT THOMAS MITCHELL (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6400 | Non-Participating Provider | NO | |
| 1104552348 | SHERVIN MOSHASHAEI DDS MBA INC (Organization) | 9878 HIBERT ST STE 105 SAN DIEGO, CA 92131 (310) 993-8702 |
| Non-Participating Provider | NO |
| 1104710755 | CARSON THEODORE HUNT (Individual) | 4076 3RD AVE STE 201 SAN DIEGO, CA 92103 (619) 298-2322 | Non-Participating Provider | NO | |
| 1104821156 | HARRIET F SELDIN (Individual) | 3737 MORAGA AVE STE B113 SAN DIEGO, CA 92117 (858) 274-2483 | Non-Participating Provider | NO | |
| 1104840099 | BRIAN JOSEPH CASCIARI (Individual) | 9320 CARMEL MOUNTAIN RD STE A SAN DIEGO, CA 92129 (858) 484-4104 | Non-Participating Provider | YES | |
| 1104949692 | CHRISTOPHER TONG (Individual) | 9330 MIRA MESA BLVD STE B SAN DIEGO, CA 92126 (858) 693-9070 |
| Non-Participating Provider | NO |
| 1104955855 | GUILLERMO RODRIGUEZ (Individual) | 3200 ADAMS AVE STE 202 SAN DIEGO, CA 92116 (619) 282-7094 |
| Non-Participating Provider | NO |
| 1104962190 | ARSHIYA SHARAFI (Individual) | 4910 DIRECTORS PL 301 SAN DIEGO, CA 92121 (858) 997-2701 |
| Opted out of Medicare | YES |
| 1104978030 | JAMES SEAN BRODFUEHRER (Individual) | 9225 MIRA MESA BLVD SUITE #212 SAN DIEGO, CA 92126 (858) 566-9452 |
| Non-Participating Provider | YES |
| 1104988088 | PETROS TOMA & PUTRUS DENTAL CORP (Organization) | 4844 UNIVERSITY AVENUE SUITE B SAN DIEGO, CA 92105 (619) 285-5010 | Non-Participating Provider | NO | |
| 1104994474 | ERIC SCOTT MCLEOD (Individual) | 43000 MIDWAY AVE BLDG 595, MARINE CORPS RECRUIT DEPOT SAN DIEGO, CA 92140 (619) 524-4009 | Non-Participating Provider | NO | |
| 1114011020 | ALL SMILE DENTAL (Organization) | 4653 CARMEL MOUNTAIN RD STE. 306 SAN DIEGO, CA 92130 (858) 350-0045 | Non-Participating Provider | NO | |
| 1114037470 | ADEL RASMY TAWFILIS (Individual) | 12264 EL CAMINO REAL SUITE 111 SAN DIEGO, CA 92130 (858) 509-1259 |
| Non-Participating Provider | YES |
| 1114045499 | JOLENE N. NGUYEN-ZIN (Individual) | 10672 WEXFORD ST SUITE 290 SAN DIEGO, CA 92131 (858) 695-8080 | Non-Participating Provider | NO | |
| 1114050200 | THI BINH PHAN (Individual) | 1540 FERN ST SAN DIEGO, CA 92102 (619) 236-9549 |
| Non-Participating Provider | NO |
| 1114052016 | DENISE FRANCES (Individual) | 325 7TH AVE UNIT 305 SAN DIEGO, CA 92101 (860) 869-9388 | Non-Participating Provider | NO | |
| 1114063419 | STEVEN FRANK JAKSHA (Individual) | 12395 EL CAMINO REAL STE 101 SAN DIEGO, CA 92130 (858) 350-0337 |
| Non-Participating Provider | YES |
| 1114148079 | TOURAN DAVOUDI (Individual) | 5450 CLAIREMONT MESA BLVD SUITE C SAN DIEGO, CA 92117 (858) 503-6789 |
| Non-Participating Provider | NO |
| 1114253465 | ALWYN STEAVE DEVARAJ (Individual) | 4118 W POINT LOMA BLVD SAN DIEGO, CA 92110 (619) 225-9354 |
| Non-Participating Provider | NO |
| 1114578580 | WESTERN DENTAL SERVICES, INC. (Organization) | 286 EUCLID AVE STE 201 SAN DIEGO, CA 92114 (619) 272-6246 | Non-Participating Provider | NO | |
| 1114657400 | AHMADI DENTAL GROUP (Organization) | 3330 3RD AVE STE 200 SAN DIEGO, CA 92103 (619) 816-2128 | Non-Participating Provider | NO | |
| 1114756715 | RACHEL DOLLARD (Individual) | 435 4TH AVE SAN DIEGO, CA 92101 (619) 850-2550 |
| Non-Participating Provider | NO |
| 1124010343 | DEBRA M RYKEN (Individual) | 34101 FARENHOLT AVE BLDG 14 NAVAL SCHOOL OF HEALTH SCIENCES SAN DIEGO, CA 92134 (619) 532-7803 | Non-Participating Provider | NO | |
| 1124067665 | JACK ALAN ROSENSON (Individual) | 13859 CARMEL VALLEY RD SUITE D SAN DIEGO, CA 92130 (858) 484-9090 |
| Non-Participating Provider | NO |
| 1124104336 | MIRA MESA DENTAL & ORTHODONTIC OFFICE (Organization) | 9750 MIRAMAR ROAD SUITE 260 SAN DIEGO, CA 92126 (858) 566-5050 | Non-Participating Provider | NO | |
| 1124107958 | JAMES H SINKS DDS JAMES H SINKS DDS APC (Organization) | 4320 GENESEE AVE STE 203 SAN DIEGO, CA 92117 (858) 541-7676 | Non-Participating Provider | NO | |
| 1124108964 | LAMAR CARY ORTON (Individual) | 11665 AVENA PL STE 101 SAN DIEGO, CA 92128 (858) 485-7668 |
| Non-Participating Provider | NO |
| 1124115464 | REBECCA ANNE MARSH (Individual) | 306 WALNUT AVE STE 23 SAN DIEGO, CA 92103 (619) 564-7156 | Non-Participating Provider | YES | |
| 1124132170 | AFSANEH ZOKAEI DDS APC NEIGHBORHOOD DENTAL GROUP (Organization) | 6244 EL CAJON BLV #25 SAN DIEGO, CA 92115 (619) 286-6909 |
| Non-Participating Provider | NO |
| 1124135306 | MOHAMAD SAAD TARABISHI (Individual) | 6465 BALBOA AVE SUITE B SAN DIEGO, CA 92111 (858) 278-2700 |
| Non-Participating Provider | NO |
| 1124156492 | EDUARDO LIMON LUGO (Individual) | 995 GATEWAY CENTER WAY 301 SAN DIEGO, CA 92102 (619) 263-6648 |
| Non-Participating Provider | NO |
| 1124177761 | MIRTHA MYREYA GOMEZ (Individual) | 3544 30TH ST SAN DIEGO, CA 92104 (619) 515-2424 |
| Non-Participating Provider | YES |
| 1124181813 | HAMIT ARAS (Individual) | 6544 EL CAJON BLVD SAN DIEGO, CA 92115 (619) 582-7722 |
| Non-Participating Provider | NO |
| 1124217203 | SHIVI J GUPTA (Individual) | 8899 UNIVERSITY CENTER LN STE. 245 SAN DIEGO, CA 92122 (858) 455-9151 | Non-Participating Provider | NO | |
| 1124355292 | JOSEPH R. WISNIESKI (Individual) | 2650 CAMINO DEL RIO N #102 SAN DIEGO, CA 92108 (619) 298-0521 |
| Non-Participating Provider | NO |
| 1124417480 | S. DANNEY DENTAL GROUP SLEEP MEDICINE, INC. (Organization) | 6386 ALVARADO CT STE 315 SAN DIEGO, CA 92120 (619) 286-4123 | Non-Participating Provider | NO | |
| 1124425830 | PENASQUITOS DENTAL SDDENTALSPECIALIST (Organization) | 8534 HOPSEED LN SAN DIEGO, CA 92129 (240) 383-7623 | Non-Participating Provider | NO | |
| 1124474911 | HAITHAM SHASHA (Individual) | 4844 UNIVERSITY AVE STE B SAN DIEGO, CA 92105 (619) 285-5010 |
| Non-Participating Provider | NO |
| 1124510482 | DANIEL MARK BLANCO (Individual) | 9912 CARMEL MOUNTAIN RD STE B SAN DIEGO, CA 92129 (858) 538-9182 |
| Non-Participating Provider | NO |
| 1124561659 | JESSICA T TRUONG DDS & DANNY T TRUONG DDS, INC (Organization) | 9878 HIBERT ST STE 105 SAN DIEGO, CA 92131 (858) 779-3111 | Non-Participating Provider | NO | |
| 1124639562 | PHILLIP JAMES DUNSFORD (Individual) | 2310 CRAVEN ST BLDG 3230 SAN DIEGO, CA 92136 (831) 224-7161 | Non-Participating Provider | NO | |
| 1124683586 | DR VAHEED BAYETTE DDS DENTAL CORPORATION (Organization) | 2221 CAMINO DEL RIO S STE 107 SAN DIEGO, CA 92108 (619) 298-9839 | Non-Participating Provider | NO | |
| 1124714506 | MARZIEH SALEHITAZANGI (Individual) | 4060 FAIRMOUNT AVE SAN DIEGO, CA 92105 (619) 280-4213 | Non-Participating Provider | NO | |
| 1124719182 | PATRICK GOLEZ (Individual) | 2050 EL CAJON BLVD SAN DIEGO, CA 92104 (619) 637-9774 |
| Non-Participating Provider | YES |
| 1124749692 | SHARYNNE ISYS TABAL ALFONSO (Individual) | 6755 MIRA MESA BLVD STE 142 SAN DIEGO, CA 92121 (858) 457-7747 |
| Non-Participating Provider | NO |
| 1124771811 | SURA AL OBAIDY (Individual) | 4142 ADAMS AVE STE 104 SAN DIEGO, CA 92116 (619) 483-7977 |
| Non-Participating Provider | YES |
| 1134011075 | ARIANNA ROSARIO SEGURA (Individual) | 1455 G ST SAN DIEGO, CA 92101 (619) 324-4981 | Non-Participating Provider | NO | |
| 1134136773 | DIANE JOYCE MILBERG (Individual) | 306 WALNUT AVE #33 SAN DIEGO, CA 92103 (619) 299-3560 | Non-Participating Provider | NO | |
| 1134149867 | BANG KINH DO (Individual) | 4090 EL CAJON BLVD STE F SAN DIEGO, CA 92105 (619) 280-0337 |
| Non-Participating Provider | NO |
| 1134217870 | JIN SONG YOM (Individual) | 8997 MIRA MESA BLVD SAN DIEGO, CA 92126 (858) 536-5550 |
| Non-Participating Provider | NO |
| 1134248214 | DAVID TOPPI (Individual) | 10415 SAN DIEGO MISSION RD STE A SAN DIEGO, CA 92108 (619) 640-3000 |
| Non-Participating Provider | NO |
| 1134267792 | CINDY KO (Individual) | 4510 EXECUTIVE DR STE 101 SAN DIEGO, CA 92121 (858) 683-3756 |
| Non-Participating Provider | NO |
| 1134311004 | KRISTY LYNN HAYES (Individual) | 239 LAUREL ST SUITE 201 SAN DIEGO, CA 92101 (619) 291-5266 |
| Non-Participating Provider | NO |
| 1134336324 | MINGI KIM (Individual) | 7750 DAGGET ST STE 104 SAN DIEGO, CA 92111 (858) 874-3000 |
| Non-Participating Provider | NO |
| 1134345507 | ROYA NIAKIAN A PROFESSIONAL CORPORATION 6TH AVENUE PERIODONTICS & IMPLANT DENTISTRY (Organization) | 1111 6TH AVENUE STE 102 SAN DIEGO, CA 92101 (619) 702-7113 |
| Non-Participating Provider | NO |
| 1134347065 | KOUROSH A. KASHANI DDS, INC. COAST DENTAL CARE (Organization) | 6585 EL CAJON BLVD SAN DIEGO, CA 92115 (619) 265-0072 |
| Non-Participating Provider | NO |
| 1134348295 | DAVID S. ESHOM (Individual) | 8899 UNIVERSITY CENTER LN STE 245 SAN DIEGO, CA 92122 (858) 455-9151 | Non-Participating Provider | NO | |
| 1134410244 | WAIYIN CHAN (Individual) | 11360 DALBY PL SAN DIEGO, CA 92126 (858) 229-6927 |
| Non-Participating Provider | YES |
| 1134411077 | DIANA NGUYEN (Individual) | 9450 SCRANTON RD SUITE 110 SAN DIEGO, CA 92121 (858) 490-4281 |
| Non-Participating Provider | NO |
| 1134495096 | SUSIE RO (Individual) | 17173 RALPHS RANCH RD SAN DIEGO, CA 92127 (714) 421-0430 |
| Non-Participating Provider | NO |
| 1134503238 | ROMI CHUA (Individual) | 4060 FAIRMOUNT AVE SAN DIEGO, CA 92105 (619) 564-7017 |
| Non-Participating Provider | YES |
| 1134642242 | MEGAN SMITH (Individual) | 1806 CABLE ST SAN DIEGO, CA 92107 (619) 226-4784 |
| Non-Participating Provider | NO |
| 1134661150 | JAMES MANUEL RODRIGUEZ DDS DENTAL CORP PACIFIC WAVE DENTAL (Organization) | 7676 JACKSON DR. SUITE 8 SAN DIEGO, CA 92119 (619) 229-8000 | Non-Participating Provider | NO | |
| 1134687700 | CHELSEA ALEXANDRA HOPE (Individual) | 4074 FAIRMOUNT AVE STE B SAN DIEGO, CA 92105 (619) 996-9543 |
| Non-Participating Provider | NO |
| 1134785058 | ANDREW LUM (Individual) | 12264 EL CAMINO REAL STE 306 SAN DIEGO, CA 92130 (858) 755-9810 | Non-Participating Provider | NO | |
| 1134799984 | MARIECHRIS ANCHETA SAPINOSO DDS PC (Organization) | 5060 LOGAN AVE SAN DIEGO, CA 92113 (949) 413-4090 | Non-Participating Provider | NO | |
| 1134979750 | NEGLERIO DENTAL CORPORATION (Organization) | 13295 BLACK MOUNTAIN RD STE 3 SAN DIEGO, CA 92129 (858) 538-5280 | Non-Participating Provider | NO | |
| 1144005141 | RAJ UKANI (Individual) | 5965 VILLAGE WAY STE E-206 SAN DIEGO, CA 92130 (858) 900-3541 |
| Non-Participating Provider | YES |
| 1144017914 | REBEKAH SARI QUENTA (Individual) | 11279 MANORGATE DR SAN DIEGO, CA 92130 (415) 283-6612 | Non-Participating Provider | NO | |
| 1144298340 | RANDALL JAMES WALKER (Individual) | 34800 BOB WILSON DR NMCSD, ATTN: MEDICAL STAFF SERVICES SAN DIEGO, CA 92134 (619) 532-6460 | Non-Participating Provider | NO | |
| 1144387374 | CARL H SMITH (Individual) | 8899 UNIVERSITY CENTER LN STE 185 SAN DIEGO, CA 92122 (858) 458-9000 |
| Opted out of Medicare | YES |
| 1144392374 | GERMAN TRUJILLO (Individual) | 4520 EXECUTIVE DR STE 220 SAN DIEGO, CA 92121 (858) 434-7554 |
| Non-Participating Provider | NO |
| 1144403601 | JAMES C BYRNE (Individual) | 13080 SIGNATURE PT APT. 88 SAN DIEGO, CA 92130 (323) 841-4060 |
| Non-Participating Provider | NO |
| 1144434861 | AMIR MOJAVER (Individual) | 4675 CARMEL MOUNTAIN RD. #208 SAN DIEGO, CA 92130 (858) 259-4765 |
| Non-Participating Provider | NO |
| 1144437724 | COX DENTAL CORPORATION GENTLE DENTAL NORTH COUNTY (Organization) | 9855 ERMA RD STE 108 SAN DIEGO, CA 92131 (858) 578-9020 | Non-Participating Provider | NO | |
| 1144452855 | JULIE ELAINE BOULOS (Individual) | 2180 GARNET AVE STE 1K SAN DIEGO, CA 92109 (858) 270-4904 |
| Non-Participating Provider | YES |
| 1144458241 | DAVID MICHAEL RASMUSSEN (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6867 |
| Accepts Medicare | YES |
| 1144486598 | JOSEPH DEANE JORDAN (Individual) | 1809 NATIONAL AVE SAN DIEGO, CA 92113 (619) 515-2394 | Non-Participating Provider | NO | |
| 1144487679 | ALI ADNAN ALI'I'KAI SADDUK (Individual) | 11183 SCRIPPS RANCH BLVD SAN DIEGO, CA 92131 (310) 430-8118 |
| Non-Participating Provider | NO |
| 1144549833 | BRITTANY KONCZ (Individual) | 9737 AERO DR STE 210 SAN DIEGO, CA 92123 (858) 336-8478 |
| Non-Participating Provider | NO |
| 1144557281 | ADESUWA B BELLO (Individual) | 3177 OCEAN VIEW BLVD SAN DIEGO, CA 92113 (619) 662-4100 |
| Non-Participating Provider | YES |
| 1144756321 | FAISAL SULEIMAN (Individual) | 13859 CARMEL VALLEY RD STE D SAN DIEGO, CA 92130 (858) 484-9090 |
| Non-Participating Provider | YES |
| 1144939752 | EVELYN TALY HUAMAN, DMD, DABP, APC (Organization) | 9750 MIRAMAR RD STE 380 SAN DIEGO, CA 92126 (619) 516-0018 | Non-Participating Provider | NO | |
| 1154004349 | BENJAMIN LAM (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6400 | Non-Participating Provider | NO | |
| 1154310472 | JEROME A BANNISTER DDS INC (Organization) | 4370 PALM AVE STE C SAN DIEGO, CA 92154 (619) 428-8682 | Non-Participating Provider | NO | |
| 1154392629 | SHEHERAZAD L. HARTZELL (Individual) | 34800 BOB WILSON DR NMCSD, ATTN: MEDICAL STAFF SERVICES SAN DIEGO, CA 92134 (619) 532-6460 | Non-Participating Provider | NO | |
| 1154407765 | DAVID G MILDER (Individual) | 3737 MORAGA AVE STE B216 SAN DIEGO, CA 92117 (858) 274-7901 |
| Opted out of Medicare | YES |
| 1154407963 | JEFFREY ALAN BLOCH (Individual) | 11777 BERNARDO PLAZA CT SUITE 101 SAN DIEGO, CA 92128 (858) 376-1440 |
| Non-Participating Provider | NO |
| 1154429306 | ZOE CRISTINA SUCIU (Individual) | 7424 JACKSON DR #6 SAN DIEGO, CA 92119 (619) 463-9253 |
| Non-Participating Provider | NO |
| 1154442911 | GENE P. MOORE DDS (Organization) | 286 EUCLID AVE STE 201 SAN DIEGO, CA 92114 (619) 263-6683 | Non-Participating Provider | NO | |
| 1154456051 | MARTINA PARRONE DDS AVOID URBAN DECAY THE DENTAL PRACTICE OF DR. MARTINA PARRONE (Organization) | 715 J ST STE 107 SAN DIEGO, CA 92101 (619) 702-4204 | Non-Participating Provider | NO | |
| 1154460228 | RICHARD GRANT (Individual) | 12395 EL CAMINO REAL SUITE 218 SAN DIEGO, CA 92130 (858) 755-1515 |
| Non-Participating Provider | NO |
| 1154475366 | HUNG Q QUAN (Individual) | 4748 UNIVERSITY AVE STE D SAN DIEGO, CA 92105 (619) 640-8637 | Non-Participating Provider | YES | |
| 1154498202 | DAN VANN DOBBS (Individual) | 6244 EL CAJON BLVD #14 SAN DIEGO, CA 92115 (619) 583-6791 | Non-Participating Provider | NO | |
| 1154541605 | MARK M MCKEE (Individual) | 7094 MIRAMAR RD SUITE 112 SAN DIEGO, CA 92121 (858) 578-2211 |
| Non-Participating Provider | NO |
| 1154559490 | REBECCA ANN WACHTEL (Individual) | 16918 DOVE CANYON RD SUITE 201 SAN DIEGO, CA 92127 (858) 924-1000 |
| Non-Participating Provider | NO |
| 1154563187 | LYNNE E SIMMS (Individual) | 3510 FRONT ST SAN DIEGO, CA 92103 (831) 917-3208 |
| Non-Participating Provider | NO |
| 1154577443 | CHARLES D SCHLESINGER DENTAL CORPORATION BLACK MOUNTAIN FAMILY DENTISTRY (Organization) | 9484 BLACK MOUNTAIN RD STE E SAN DIEGO, CA 92126 (858) 271-9393 | Non-Participating Provider | NO | |
| 1154685030 | A. JAYSON TENGONCIANG, DMD, INC (Organization) | 3762 CLAIREMONT DR SAN DIEGO, CA 92117 (302) 230-6375 | Non-Participating Provider | NO | |
| 1154711521 | EDMUND WALT JAY (Individual) | 3737 MORAGA AVE STE. B-300 SAN DIEGO, CA 92117 (858) 270-0682 | Non-Participating Provider | NO | |
| 1154757367 | MARK J RIEDLER (Individual) | 4167 OHIO ST SAN DIEGO, CA 92104 (619) 281-6635 |
| Non-Participating Provider | NO |
| 1154773224 | CHRISTINE SOOJUNG RHEE (Individual) | 8899 UNIVERSITY CENTER LN STE 190 SAN DIEGO, CA 92122 (858) 546-0100 |
| Non-Participating Provider | YES |
| 1154949097 | KARANJOT SINGH BATH (Individual) | 11230 SORRENTO VALLEY RD STE 130 SAN DIEGO, CA 92121 (858) 682-2921 |
| Non-Participating Provider | NO |
| 1154956050 | ENBARA CORPORATION (Organization) | 5189 CLAIRMONT MESA BLVD SAN DIEGO, CA 92117 (619) 734-2886 |
| Non-Participating Provider | NO |
| 1154976348 | LIBBY DENTAL (Organization) | 2333 CAMINO DEL RIO S STE 310 SAN DIEGO, CA 92108 (619) 276-6884 | Non-Participating Provider | NO | |
| 1164003935 | JAMES EDWARD SANFORD (Individual) | 105 W SPRUCE ST APT C SAN DIEGO, CA 92103 (619) 920-6799 | Non-Participating Provider | NO | |
| 1164448064 | KEVEN SCOTT HEROLD (Individual) | 306 WALNUT AVE SUITE 33 SAN DIEGO, CA 92103 (619) 295-3456 |
| Non-Participating Provider | NO |
| 1164525697 | REZA KASIRI (Individual) | 6755 MIRA MESA BLVD SUITE 218 SAN DIEGO, CA 92121 (858) 552-0052 |
| Non-Participating Provider | NO |
| 1164538666 | CHRISTINA A BARTSCH (Individual) | 3737 MORAGA AVE SUITE A-107 SAN DIEGO, CA 92117 (858) 272-1143 | Non-Participating Provider | NO | |
| 1164560884 | JULITA T. TINAMISAN (Individual) | 4123 UNIVERSITY AVE SAN DIEGO, CA 92105 (619) 521-0012 |
| Non-Participating Provider | NO |
| 1164581260 | HANGQING JIN (Individual) | 12798 RANCHO PENASQUITOS BLVD STE I SAN DIEGO, CA 92129 (858) 353-2644 |
| Non-Participating Provider | YES |
| 1164584801 | PATRICIA VETLESEN WESTWOOD (Individual) | 4633 INGRAHAM ST STE C SAN DIEGO, CA 92109 (858) 866-1551 | Non-Participating Provider | NO | |
| 1164611455 | NATHAN JAMES HORNSBY (Individual) | 940 B ST SAN DIEGO, CA 92101 (619) 544-5444 |
| Non-Participating Provider | NO |
| 1164611471 | CYNTHIA CALINGO TUASON (Individual) | 1061 SATURN BLVD 103 SAN DIEGO, CA 92154 (619) 254-5909 |
| Non-Participating Provider | NO |
| 1164625398 | APRIL URBANO AMBROSIO (Individual) | 10717 CAMINO RUIZ SUITE 164 SAN DIEGO, CA 92126 (858) 578-2759 |
| Non-Participating Provider | NO |
| 1164765566 | JONATHAN GRANT HAYNIE (Individual) | 6616 MISSION GORGE RD SAN DIEGO, CA 92120 (619) 280-7866 |
| Non-Participating Provider | YES |
| 1164800025 | MARYAM DERAKHSHANI (Individual) | 10960 LA ALBERCA AVENUE SAN DIEGO, CA 92127 (416) 272-2797 |
| Non-Participating Provider | NO |
| 1164835245 | CASSIE STARR (Individual) | 4167 OHIO ST SAN DIEGO, CA 92104 (619) 281-6635 |
| Non-Participating Provider | YES |
| 1164881413 | CORBIN SMITH (Individual) | 11770 BERNARDO PLAZA CT STE 100 SAN DIEGO, CA 92128 (858) 924-8225 |
| Non-Participating Provider | NO |
| 1174076004 | GRACE CATHERINE FEDOR (Individual) | 5638 MISSION CENTER RD STE 107 SAN DIEGO, CA 92108 (619) 220-0159 |
| Non-Participating Provider | YES |
| 1174106447 | REGINA MARIE JAVIER (Individual) | 4050 BEYER BLVD SAN DIEGO, CA 92173 (619) 662-4100 |
| Non-Participating Provider | YES |
| 1174131296 | ALEXANDRA HANSEN (Individual) | 3737 MORAGA AVE STE B400 SAN DIEGO, CA 92117 (858) 274-8900 | Non-Participating Provider | NO | |
| 1174155949 | DR. PAGE HUDSON DENTAL CORPORATION (Organization) | 4074 FAIRMOUNT AVENUE SUITE B SAN DIEGO, CA 92105 (619) 998-9543 | Non-Participating Provider | NO | |
| 1174190672 | JACOB NICOLAS TICE (Individual) | 1975 GARNET AVE STE E SAN DIEGO, CA 92109 (858) 866-0808 |
| Non-Participating Provider | YES |
| 1174194609 | AUSTIN MAHLIK (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6400 | Non-Participating Provider | NO | |
| 1174214688 | VANESSA MAHROU (Individual) | 4060 FAIRMOUNT AVE SAN DIEGO, CA 92105 (619) 255-9155 |
| Non-Participating Provider | NO |
| 1174294649 | YOUNGSEOB KIM (Individual) | 5820 OBERLIN DR STE 109 SAN DIEGO, CA 92121 (858) 550-9688 | Non-Participating Provider | NO | |
| 1174517486 | SHAY BRANNAN MUSHET (Individual) | 7930 FROST ST STE 101 SAN DIEGO, CA 92123 (858) 492-9977 |
| Non-Participating Provider | NO |
| 1174543458 | MARCOS ORTEGA (Individual) | 306 WALNUT AVE STE 25 SAN DIEGO, CA 92103 (619) 295-4545 |
| Non-Participating Provider | NO |
| 1174575112 | GEORGE E. MACFARLANE (Individual) | 4170 NORMAN SCOTT RD SAN DIEGO, CA 92136 (619) 767-6615 | Non-Participating Provider | NO | |
| 1174613525 | CESARIO A ANGLES DMD A PROFESSIONAL DENTAL CORPORATION ANGELES FAMILY DENTISTRY CESARIO A ANGELES DMD - APDC (Organization) | 13161 BLACK MOUNTAIN ROAD SUITE 3 SAN DIEGO, CA 92129 (858) 538-5387 |
| Non-Participating Provider | NO |
| 1174675078 | KHOUNG HUU NGUYEN (Individual) | 2780 CARDINAL ROAD SUITE A SAN DIEGO, CA 92123 (858) 650-0838 |
| Non-Participating Provider | NO |
| 1174681001 | HAMID KHERADMANDNIA (Individual) | 7424 JACKSON DR SUITE 9 SAN DIEGO, CA 92119 (619) 461-9494 |
| Non-Participating Provider | NO |
| 1174681787 | ROBERT IBARRA LOZANO (Individual) | 16959 BERNARDO CENTER DR SUITE 103 SAN DIEGO, CA 92128 (858) 485-0707 |
| Non-Participating Provider | NO |
| 1174709067 | G.L.BERRY,DDS A DENTAL CORPORATION NEIGHBORHOOD FAMILY DENTAL PRACTICE (Organization) | 5527 CLAIREMONT MESA BLVD SAN DIEGO, CA 92117 (858) 467-0503 | Non-Participating Provider | NO | |
| 1174739700 | KIERIAN B. KUKLOK, MD, DDS, INC. CARMEL MOUNTAIN ORAL & FACIAL SURGERY (Organization) | 9912 CARMEL MOUNTAIN RD STE A SAN DIEGO, CA 92129 (858) 484-6418 | Non-Participating Provider | NO | |
| 1174747133 | DANIEL JAMES HENDERSON (Individual) | 4707 MISSION BLVD SAN DIEGO, CA 92109 (858) 483-6851 | Non-Participating Provider | NO | |
| 1174777841 | KEITH CHRISTOPHER HENDERSON (Individual) | 16766 BERNARDO CENTER DR 201 SAN DIEGO, CA 92128 (858) 485-0200 |
| Non-Participating Provider | NO |
| 1174797369 | SANDRA ASTRIDE VITINS-MCKEE (Individual) | 7094 MIRAMAR RD STE 112 SAN DIEGO, CA 92121 (858) 578-2211 |
| Non-Participating Provider | NO |
| 1174802813 | QUY LAM PHUOC NGUYEN (Individual) | 4236 EL CAJON BLVD SAN DIEGO, CA 92105 (619) 584-4015 |
| Non-Participating Provider | NO |
| 1174857932 | ALI JADALI-ARAGHI (Individual) | 7597 MONA LN SAN DIEGO, CA 92130 (858) 688-3989 |
| Non-Participating Provider | YES |
| 1174916456 | MISSION VALLEY DENTAL ARTS (Organization) | 2333 CAMINO DEL RIO S STE 140 SAN DIEGO, CA 92108 (619) 574-1810 |
| Non-Participating Provider | NO |
| 1174952121 | CINDY H. LY, DDS INC FRIENDLY FAMILY DENTAL (Organization) | 3774 CLAIREMONT DR SAN DIEGO, CA 92117 (858) 274-1219 | Non-Participating Provider | NO | |
| 1174959407 | TERRY ALAN MCCLANAHAN (Individual) | 2533 EL CAJON BLVD SAN DIEGO, CA 92104 (619) 543-1588 | Non-Participating Provider | NO | |
| 1174973507 | DUC HUYNH NGUYEN (Individual) | 5830 OBERLIN DR STE 103 SAN DIEGO, CA 92121 (858) 546-1802 |
| Non-Participating Provider | YES |
| 1174976690 | MARILYN ANDERSEN (Individual) | NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE SAN DIEGO, CA 92134 (619) 532-7935 | Non-Participating Provider | NO | |
| 1174997936 | KIM ANH THI NGUYEN, DMD, INC. SMILEINSIGHT DENTAL (Organization) | 11828 RANCHO BERNARDO RD STE 203 SAN DIEGO, CA 92128 (858) 798-5153 |
| Non-Participating Provider | NO |
| 1184004517 | SHEENA HOWELL DMD, INC (Organization) | 522 THORN ST SAN DIEGO, CA 92103 (352) 396-8120 | Non-Participating Provider | NO | |
| 1184033870 | RAMIZ NASSER (Individual) | 111 ELM ST SAN DIEGO, CA 92101 (619) 677-3800 |
| Non-Participating Provider | NO |
| 1184034746 | JIM S CHANG (Individual) | 12798 RANCHO PENASQUITOS BLVD # 1 SAN DIEGO, CA 92129 (858) 484-9776 |
| Non-Participating Provider | NO |
| 1184077307 | FRANK E RAFAIL DMD INC (Organization) | 11738 CARMEL MOUNTAIN RD STE 170 SAN DIEGO, CA 92128 (858) 675-1180 | Non-Participating Provider | NO | |
| 1184151219 | DIPALEE D KABADE (Individual) | 9135 JUDICIAL DR APT 3318 SAN DIEGO, CA 92122 (979) 571-3619 |
| Non-Participating Provider | NO |
| 1184169443 | RENEE LOUISE GONZALEZ, DDS, INC. OCEANFRONT DENTAL CARE (Organization) | 2305 MORENA BLVD SUITE A SAN DIEGO, CA 92110 (619) 276-2145 | Non-Participating Provider | NO | |
| 1184243636 | MASSARA KABABCHY (Individual) | 9450 SCRANTON RD STE 109 SAN DIEGO, CA 92121 (858) 457-8514 | Non-Participating Provider | NO | |
| 1184342453 | HANNAH ANDERSON MILLS (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (720) 381-8771 | Non-Participating Provider | NO | |
| 1184387508 | CHASE J WARNER (Individual) | 38400 BOB WILSON DR SAN DIEGO, CA 92134 (562) 275-5328 | Non-Participating Provider | NO | |
| 1184427379 | KEVEN S HEROLD, DDS INC (Organization) | 11199 SORRENTO VALLEY RD STE 204 SAN DIEGO, CA 92121 (858) 626-8155 | Non-Participating Provider | NO | |
| 1184748725 | JOSEPH HENRY FALLON (Individual) | 4633 INGRAHAM ST SUITE A SAN DIEGO, CA 92109 (858) 272-3771 |
| Non-Participating Provider | NO |
| 1184759326 | KAI LIU (Individual) | 4305 UNIVERSITY AVE STE 150 SAN DIEGO, CA 92105 (619) 501-1235 |
| Non-Participating Provider | NO |
| 1184812786 | JONATHAN L. VLAHOS (Individual) | 4862 SANTA CRUZ AVE SAN DIEGO, CA 92107 (502) 552-3844 |
| Non-Participating Provider | NO |
| 1184844433 | MARC REIS (Individual) | 4606 VOLTAIRE ST SAN DIEGO, CA 92107 (619) 224-3135 | Non-Participating Provider | NO | |
| 1184922064 | THONG DUONG DDS (Organization) | 4448 UNIVERSITY AVE STE D SAN DIEGO, CA 92105 (619) 521-6798 | Non-Participating Provider | NO | |
| 1194022400 | PETER Y UMEKUBO (Individual) | 548 19TH ST SAN DIEGO, CA 92102 (619) 233-6000 | Non-Participating Provider | NO | |
| 1194141903 | BENJAMIN STALLER (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6400 |
| Non-Participating Provider | NO |
| 1194147231 | MARYROSE HAWKINS (Individual) | 12395 EL CAMINO REAL STE 213 SAN DIEGO, CA 92130 (858) 481-2596 | Non-Participating Provider | NO | |
| 1194149278 | ROBERT BRUCE MCFARLANE (Individual) | 8899 UNIVERSITY CENTER LN STE 100 SAN DIEGO, CA 92122 (858) 249-4441 | Non-Participating Provider | NO | |
| 1194201566 | GAURI T SYAL (Individual) | 6175 EL CAJON BLVD SAN DIEGO, CA 92115 (619) 583-4030 |
| Non-Participating Provider | YES |
| 1194240085 | KAZUHIRO KATO (Individual) | 3707 CONVOY ST. SAN DIEGO, CA 92111 (858) 565-1679 | Non-Participating Provider | NO | |
| 1194748806 | YUMIN TU (Individual) | 10737 CAMINO RUIZ SUITE 230 SAN DIEGO, CA 92126 (858) 693-3987 |
| Non-Participating Provider | NO |
| 1194852350 | TIMOTHY M BELNAP (Individual) | 13161 BLACK MOUNTAIN RD STE 5 SAN DIEGO, CA 92129 (858) 484-9202 |
| Non-Participating Provider | NO |
| 1194885608 | TOMA&PETROS DDS INC (Organization) | 3530 CAMINO DEL RIO N SUIT 109 SAN DIEGO, CA 92108 (619) 283-2093 | Non-Participating Provider | NO | |
| 1194890251 | ROBERT HALE RIDING (Individual) | 2878 CAMINO DEL RIO S SUITE 210 SAN DIEGO, CA 92108 (619) 298-2200 |
| Non-Participating Provider | YES |
| 1194930982 | JIMMY I. WANG, DDS, A PROFESSIONAL CORPORATION DENTISTRY AT 4S RANCH (Organization) | 10432 RESERVE DRIVE SUITE 110 SAN DIEGO, CA 92127 (858) 487-6428 | Non-Participating Provider | NO | |
| 1205006160 | VINCENT HUY NGUYEN, DDS, INC IMPRESSION DENTAL GROUP (Organization) | 8270 MIRA MESA BLVD STE D SAN DIEGO, CA 92126 (858) 578-4677 | Non-Participating Provider | NO | |
| 1205031663 | ROSS AND SALAZAR, INC MISSION TRAILS DENTISTRY (Organization) | 6902 NAVAJO RD SAN DIEGO, CA 92119 (619) 582-9700 | Non-Participating Provider | NO | |
| 1205038692 | EVELYN G ASCOUGH (Individual) | 8953 COMPLEX DR SAN DIEGO, CA 92123 (619) 298-0821 |
| Non-Participating Provider | NO |
| 1205087509 | LUKE VINCENT TORAASON (Individual) | 1537 ROSECRANS ST SUITE B SAN DIEGO, CA 92106 (619) 223-1267 |
| Non-Participating Provider | NO |
| 1205115045 | FLORINA IVANESCU (Individual) | 4134 MOUNT ALIFAN PL UNIT H SAN DIEGO, CA 92111 (619) 316-1204 |
| Non-Participating Provider | NO |
| 1205130937 | ERIKA KULLBERG (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8248 |
| Non-Participating Provider | NO |
| 1205160769 | JENNIFER PILBY (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (859) 559-7668 | Non-Participating Provider | NO | |
| 1205204427 | ERIC SHRESTHA (Individual) | 34800 BOB WILSON DR NMC DENTAL DEPARTMENT SUITE 206 SAN DIEGO, CA 92134 (619) 532-8600 | Non-Participating Provider | NO | |
| 1205249018 | CHRISTINE NOEL AL-KHOURI (Individual) | 435 4TH AVE SAN DIEGO, CA 92101 (918) 513-2140 |
| Non-Participating Provider | YES |
| 1205311057 | GIOVANNA GARCIA (Individual) | 6368 EL CAJON BLVD SAN DIEGO, CA 92115 (619) 287-8437 |
| Non-Participating Provider | NO |
| 1205613049 | CHRISTINE RENEE MORGAN (Individual) | 5638 MISSION CENTER RD STE 107 SAN DIEGO, CA 92108 (619) 220-0159 |
| Non-Participating Provider | YES |
| 1205718301 | BRITTANY MAI (Individual) | 5638 MISSION CENTER RD SAN DIEGO, CA 92108 (619) 220-0159 | Non-Participating Provider | NO | |
| 1205803566 | CARL ERIK OPSAHL (Individual) | 43000 MIDWAY AVE SAN DIEGO, CA 92140 (619) 524-4009 | Non-Participating Provider | NO | |
| 1205838695 | ADOLPH C GARZA (Individual) | NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE SAN DIEGO, CA 92134 (619) 876-1587 | Non-Participating Provider | NO | |
| 1205867066 | DOUGLAS N CHRISTIANSEN (Individual) | 3737 MORAGA AVE B-400 SAN DIEGO, CA 92117 (858) 274-8900 | Non-Participating Provider | YES | |
| 1205890167 | WILLIAM OLIVER MCINTIRE (Individual) | 11777 BERNARDO PLAZA CT SAN DIEGO, CA 92128 (858) 487-7766 | Non-Participating Provider | NO | |
| 1205897253 | MORTON STEVEN TUCHIN (Individual) | 16766 BERNARDO CENTER DR SUITE 108 SAN DIEGO, CA 92128 (858) 676-3993 | Non-Participating Provider | NO | |
| 1205943495 | MICHAEL ANTHONY STEFANIDIS (Individual) | 7424 JACKSON DR #8 SAN DIEGO, CA 92119 (619) 463-5584 |
| Non-Participating Provider | NO |
| 1205977899 | CHRISTOPHER PHAM (Individual) | 9200 SCRANTON RD STE 101 SAN DIEGO, CA 92121 (858) 225-4469 |
| Non-Participating Provider | NO |
| 1205988037 | ROY J. VEGTER (Individual) | 4276 54TH PL STE D SAN DIEGO, CA 92115 (518) 281-1229 |
| Non-Participating Provider | NO |
| 1215035217 | MARY MILDRED OCONNOR (Individual) | 420 SPRUCE STREET SUITE A SAN DIEGO, CA 92103 (619) 291-5291 |
| Non-Participating Provider | NO |
| 1215074836 | KEITH BRIAN AGUILERA (Individual) | 995 GATEWAY CENTER WAY SUITE 301 SAN DIEGO, CA 92102 (619) 263-6648 | Non-Participating Provider | NO | |
| 1215076534 | RAYMOND E. CARPENTER (Individual) | 4320 GENESEE AVE STE 207 SAN DIEGO, CA 92117 (858) 277-3910 | Accepts Medicare | YES | |
| 1215078522 | ANNA VEITZMAN (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8240 | Non-Participating Provider | NO | |
| 1215083605 | DANIEL T COLLADO (Individual) | 12075 CARMEL MOUNTAIN RD STE 210 SAN DIEGO, CA 92128 (858) 487-6453 |
| Non-Participating Provider | NO |
| 1215093315 | ROBERT B JACOB (Individual) | 4617 RUFFNER ST STE 200 SAN DIEGO, CA 92111 (858) 268-1006 |
| Non-Participating Provider | NO |
| 1215110093 | LIU DENTAL CORP LC FAMILY DENTAL CARE (Organization) | 5527 CLAIREMONT MESA BLVD SAN DIEGO, CA 92117 (858) 467-0503 | Non-Participating Provider | NO | |
| 1215196860 | MARIA LOURDES YAP YEO (Individual) | 11341 AVENIDA DE LOS LOBOS APT H SAN DIEGO, CA 92127 (323) 633-7867 |
| Non-Participating Provider | NO |
| 1215206198 | ANTHONY J. SCOMA, DDS INC. SEASIDE PEDIATRIC DENTISTRY & ORTHODONTICS (Organization) | 12036 SCRIPPS HIGHLAND DR STE 100 SAN DIEGO, CA 92131 (858) 271-4200 | Non-Participating Provider | NO | |
| 1215326947 | A. R. GHASSEMI D.D.S., M.S., P.C. FIFTH AVENUE DENTAL ARTS (Organization) | 450 A ST STE 200 SAN DIEGO, CA 92101 (619) 233-3338 | Non-Participating Provider | NO | |
| 1215355847 | JARED BUNKER DMD APC CARMEL MOUNTAIN DENTISTRY (Organization) | 10175 RANCHO CARMEL DR 126 SAN DIEGO, CA 92128 (858) 675-9055 | Non-Participating Provider | NO | |
| 1215488655 | HANA ROSEN (Individual) | 7914 RONSON RD SAN DIEGO, CA 92111 (858) 277-6833 | Non-Participating Provider | NO | |
| 1215568043 | HAGE DENTAL CORPORATION (Organization) | 3365 ROSECRANS ST STE C SAN DIEGO, CA 92110 (619) 222-6000 | Non-Participating Provider | NO | |
| 1225008022 | ROBERT A GANDOLA (Individual) | 7125 EL CAJON BLVD SUITE 2 SAN DIEGO, CA 92115 (619) 466-3966 |
| Non-Participating Provider | YES |
| 1225121734 | DAVID J LI (Individual) | 16766 BERNARDO CENTER DR #203A SAN DIEGO, CA 92128 (858) 487-8900 |
| Non-Participating Provider | NO |
| 1225133127 | JASON BROWN (Individual) | 1055 4TH AVE SAN DIEGO, CA 92101 (619) 232-1005 | Non-Participating Provider | NO | |
| 1225167067 | LYNN GAIL HUDAK (Individual) | 4541 COLLEGE AVE SAN DIEGO, CA 92115 (619) 582-5380 | Non-Participating Provider | NO | |
| 1225168669 | ESTHER JL ONG (Individual) | 4546 COLLEGE AVE SAN DIEGO, CA 92115 (619) 583-9060 | Opted out of Medicare | YES | |
| 1225173479 | NILOOFAR BEHZADI (Individual) | 306 WALNUT AVE SUITE 25 SAN DIEGO, CA 92103 (619) 930-9811 | Non-Participating Provider | NO | |
| 1225200371 | GENEVIEVE ABI-NAHED (Individual) | 5210 BALBOA AVE STE A2 SAN DIEGO, CA 92117 (858) 598-5842 |
| Non-Participating Provider | NO |
| 1225229339 | PETER GARVEY MAYER (Individual) | 2655 CAMINO DEL RIO N STE 150 SAN DIEGO, CA 92108 (619) 282-7088 | Non-Participating Provider | NO | |
| 1225245889 | MARK KRETZ (Individual) | 1775 LOCUST ST SAN DIEGO, CA 92106 (619) 222-0531 |
| Non-Participating Provider | NO |
| 1225272339 | RUBEN DARIO RAMIREZ (Individual) | 8008 FROST STREET SUITE 311 SAN DIEGO, CA 92123 (858) 292-5175 |
| Non-Participating Provider | YES |
| 1225281199 | WILLIAM ESING LIN (Individual) | 655 SATURN BLVD SUITE #G SAN DIEGO, CA 92154 (619) 429-4030 | Non-Participating Provider | NO | |
| 1225435928 | MARTIN ORTIZ, OLIVEROS (Individual) | 6727 FLANDERS DR STE 105 SAN DIEGO, CA 92121 (760) 908-8517 | Non-Participating Provider | YES | |
| 1225496524 | DAVEY DENTAL CORP DEL SUR RANCH DENTAL (Organization) | 16460 PASEO DEL SUR SUITE 105 SAN DIEGO, CA 92127 (858) 759-2700 |
| Non-Participating Provider | NO |
| 1225524028 | GRACE CHEN (Individual) | 10717 CAMINO RUIZ STE 103 SAN DIEGO, CA 92126 (858) 536-1111 |
| Non-Participating Provider | NO |
| 1225560501 | JEFFREY CHOI (Individual) | 8110 BIRMINGHAM WAY BUILDING #28, 2ND FLOOR SAN DIEGO, CA 92123 (619) 205-1950 |
| Non-Participating Provider | YES |
| 1225564230 | HAIDER FARIS (Individual) | 9750 MIRAMAR RD STE 260 SAN DIEGO, CA 92126 (347) 930-9098 |
| Non-Participating Provider | NO |
| 1225565682 | KYU JIN CHOI (Individual) | 34800 BOB WILSON DR STE 1 SAN DIEGO, CA 92134 (619) 532-8600 | Non-Participating Provider | NO | |
| 1225797731 | JAMES SPENCER BISBAS (Individual) | 12750 CARMEL COUNTRY RD STE 202 SAN DIEGO, CA 92130 (858) 755-5363 |
| Non-Participating Provider | NO |
| 1225899024 | EHSANI DENTAL CORPORATION (Organization) | 17085 CAMINO SAN BERNARDO STE 200 SAN DIEGO, CA 92127 (858) 277-8084 | Non-Participating Provider | NO | |
| 1235104688 | BRUCE SHINTARO ABE (Individual) | 501 WASHINGTON ST STE 740 SAN DIEGO, CA 92103 (619) 393-7511 | Non-Participating Provider | YES | |
| 1235131368 | CLAUDINE WAI-TING TSUI (Individual) | 8018 CLAIREMONT MESA BLVD SAN DIEGO, CA 92111 (858) 636-7887 |
| Non-Participating Provider | YES |
| 1235147745 | DAVID RICHARD DUGUID (Individual) | 230 W G ST SAN DIEGO, CA 92101 (619) 234-7222 | Non-Participating Provider | NO | |
| 1235202110 | RICHARD CODINGTON DDS INC (Organization) | 9728 CARMEL MOUNTAIN RD SUITE B SAN DIEGO, CA 92129 (858) 484-2560 | Non-Participating Provider | NO | |
| 1235245267 | STEVE H PAI (Individual) | 10737 CAMINO RUIZ STE 225 SAN DIEGO, CA 92126 (858) 271-8901 |
| Non-Participating Provider | YES |
| 1235254657 | PEGGY LUNDQUIST (Individual) | 12395 EL CAMINO REAL STE 218 SAN DIEGO, CA 92130 (858) 755-8282 |
| Non-Participating Provider | NO |
| 1235258419 | MARY AFZALI,D.D.S.,INC. R.B. FAMILY DENTISTRY (Organization) | 16776 BERNARDO CENTER DR SUITE 105 SAN DIEGO, CA 92128 (858) 485-0044 | Non-Participating Provider | NO | |
| 1235263278 | ANDREW ROBERT CHAPOKAS (Individual) | 3730 3RD AVE SAN DIEGO, CA 92103 (619) 297-2949 |
| Non-Participating Provider | NO |
| 1235271917 | BASHAR DALLOUL (Individual) | 8997 MIRA MESA BLVD SAN DIEGO, CA 92126 (858) 536-5550 |
| Non-Participating Provider | NO |
| 1235295965 | GEORGE C. GEORGAKLIS DDS APC (Organization) | 4510 EXECUTIVE DR STE 106 SAN DIEGO, CA 92121 (858) 552-1223 | Non-Participating Provider | NO | |
| 1235304650 | NHU TRUONG (Individual) | 16471 BERNARDO CENTER DR SUITE 200 B SAN DIEGO, CA 92128 (858) 451-2304 |
| Non-Participating Provider | NO |
| 1235308776 | DANIEL EDWARD STEVENS (Individual) | 2535 TRUXTUN RD STE. 200 SAN DIEGO, CA 92106 (619) 224-5000 |
| Non-Participating Provider | NO |
| 1235313925 | CHRISTINE LIN (Individual) | 4060 FAIRMOUNT AVE SAN DIEGO, CA 92105 (619) 584-1612 |
| Non-Participating Provider | NO |
| 1235346818 | COX DENTAL CORPORATION GENTLE DENTAL SORRENTO VALLEY (Organization) | 11230 SORRENTO VALLEY RD SUITE 130 SAN DIEGO, CA 92121 (858) 458-9126 | Non-Participating Provider | NO | |
| 1235451782 | HOWARD R DIXON SAN DIEGO PEDIATRIC DENTAL GROUP (Organization) | 5627 OBERLIN DR SUITE 100 SAN DIEGO, CA 92121 (858) 452-7272 | Non-Participating Provider | NO | |
| 1235452368 | CHRISTAIN CHIH-HUEI LIN-BURNS (Individual) | 8110 BIRMINGHAM WAY SAN DIEGO, CA 92123 (619) 205-1950 |
| Non-Participating Provider | YES |
| 1235470519 | JENNA Y LAU (Individual) | 2630 1ST AVE SAN DIEGO, CA 92103 (619) 234-2158 | Non-Participating Provider | YES | |
| 1235484791 | KEVIN P. PAREKH (Individual) | 1455 G ST SAN DIEGO, CA 92101 (619) 324-4981 |
| Non-Participating Provider | YES |
| 1235486390 | RALPH L. RAYA, D.D.S., INC. TIERRASANTA PLAZA DENTAL CARE (Organization) | 10715 TIERRASANTA BLVD SUITE C SAN DIEGO, CA 92124 (858) 278-6444 | Non-Participating Provider | NO | |
| 1235528175 | YEN P. LE, DDS, INC (Organization) | 9225 MIRA MESA BLVD 206 SAN DIEGO, CA 92126 (858) 695-8851 | Non-Participating Provider | NO | |
| 1235574468 | DAVID GORDON LOCKWOOD (Individual) | 3737 MORAGA AVE STE B414 SAN DIEGO, CA 92117 (858) 272-5550 | Non-Participating Provider | NO | |
| 1235620147 | HEENA UTPAL PANDYA (Individual) | 12636 VIA LAS LENAS SAN DIEGO, CA 92129 (858) 859-5225 | Non-Participating Provider | YES | |
| 1235655788 | HOSS/KERI KM DENTAL GROUP, A PROFESSIONAL CORPORATION (Organization) | 9737 AERO DRIVE STE 210 SAN DIEGO, CA 92123 (619) 636-2665 | Non-Participating Provider | NO | |
| 1235768631 | VIRGNIA PADUA MATTSON D.M.D. (Organization) | 11717 BERNARDO PLAZA CT STE 100 SAN DIEGO, CA 92128 (858) 673-1633 | Non-Participating Provider | NO | |
| 1235806126 | GAIL MARIE BURGESS (Individual) | 435 4TH AVE SAN DIEGO, CA 92101 (619) 850-2550 |
| Non-Participating Provider | NO |
| 1235825563 | DR SHARAFI, PC (Organization) | 4125 SORRENTO VALLEY BLVD SAN DIEGO, CA 92121 (858) 997-2701 |
| Non-Participating Provider | NO |
| 1235896309 | BAYDOUN DENTAL CORPORATION (Organization) | 8997 MIRA MESA BLVD SAN DIEGO, CA 92126 (619) 704-2536 | Non-Participating Provider | NO | |
| 1245221597 | BRIAN JOSEPH LOREI (Individual) | 7677 MISSION GORGE RD UNIT 142 SAN DIEGO, CA 92120 (814) 774-8154 | Non-Participating Provider | NO | |
| 1245235134 | WILLIE S CHAO (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-8600 | Non-Participating Provider | NO | |
| 1245247964 | RANDAL CHRISTIAN RUSS (Individual) | 3038 MEADE AVE SAN DIEGO, CA 92116 (619) 280-4796 |
| Non-Participating Provider | NO |
| 1245289107 | SOUDABEH SHARAFI (Individual) | 12750 CARMEL COUNTRY RD STE 215 SUITE # 215 SAN DIEGO, CA 92130 (858) 259-1400 |
| Non-Participating Provider | YES |
| 1245309145 | THANH-HA THI LE (Individual) | 4725 MARKET ST SAN DIEGO, CA 92102 (619) 515-2560 |
| Non-Participating Provider | YES |
| 1245350982 | LILLIAN R LIBERTO (Individual) | 10789 TIERRASANTA BLVD STE 110 SAN DIEGO, CA 92124 (858) 565-0212 |
| Non-Participating Provider | NO |
| 1245351915 | MICHAEL BORIS SCRYDLOFF (Individual) | 9932 MERCY RD # 104-105 SAN DIEGO, CA 92129 (858) 566-2151 |
| Non-Participating Provider | NO |
| 1245358662 | ROBERT DANE HEITZMAN (Individual) | 16769 BERNARDO CENTER DRIVE SAN DIEGO, CA 92128 (858) 487-6010 | Non-Participating Provider | NO | |
| 1245377795 | D DECKER DDS,T MCCLANAHAN DDS, INC (Organization) | 2533 EL CAJON BLVD SAN DIEGO, CA 92104 (619) 543-1588 | Non-Participating Provider | NO | |
| 1245379437 | PEGGY LEE CURTIS (Individual) | 2312 6TH AVE SAN DIEGO, CA 92101 (619) 544-1745 | Non-Participating Provider | NO | |
| 1245442334 | WALAA A RAZAK (Individual) | 945 HORNBLEND ST SUITE B SAN DIEGO, CA 92109 (619) 925-1453 | Non-Participating Provider | NO | |
| 1245493741 | PATRICK THOMAS MORRELL (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-8605 | Non-Participating Provider | NO | |
| 1245689033 | RYAN HEASLEY (Individual) | 3480 BOB WILSON DR 3480 BOB WILSON DRIVE SAN DIEGO, CA 92134 (619) 532-7935 |
| Non-Participating Provider | NO |
| 1245716950 | ERIK BALINGHASAY (Individual) | 12750 CARMEL COUNTRY RD STE 201 SAN DIEGO, CA 92130 (626) 384-6263 |
| Non-Participating Provider | NO |
| 1245843820 | NIKOLE LANCHARES (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6400 | Non-Participating Provider | NO | |
| 1245865369 | RACHELLE T. FLORES DMD, INC RACHELLE T. FLORES DMD, INC (Organization) | 2318 6TH AVE SAN DIEGO, CA 92101 (619) 234-6349 |
| Non-Participating Provider | NO |
| 1245987080 | RIVERO DMD, INC (Organization) | 3560 FAIRMOUNT AVE STE B SAN DIEGO, CA 92105 (619) 877-0124 | Non-Participating Provider | NO | |
| 1255005153 | EDITHANN J GRAHAM DMD MS INC (Organization) | 1806 CABLE ST SAN DIEGO, CA 92107 (619) 226-4784 | Non-Participating Provider | NO | |
| 1255194007 | ITZEL ATZIRI GARCIA OSCOS (Individual) | 3079 KAANAPALI WAY SAN DIEGO, CA 92154 (619) 840-7785 |
| Non-Participating Provider | NO |
| 1255305702 | LUIS EDUARDO CALIXTO (Individual) | 6368 EL CAJON BLVD SAN DIEGO, CA 92115 (619) 287-8437 |
| Non-Participating Provider | YES |
| 1255317749 | THU N LUU (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-9193 | Non-Participating Provider | NO | |
| 1255318440 | BERNARD HERBERT HOFMANN (Individual) | 2310 CRAVEN ST BLDG 3230 SAN DIEGO, CA 92136 (619) 556-8253 | Non-Participating Provider | NO | |
| 1255350773 | RICHARD KENNY WILSON (Individual) | 9310 CARMEL MOUNTAIN RD SUITE A SAN DIEGO, CA 92129 (858) 484-4880 | Non-Participating Provider | NO | |
| 1255442448 | ASHLEY ALLEN GOODMAN (Individual) | 8736 LAKE MURRY BLVD STE 108 SAN DIEGO, CA 92119 (619) 697-6677 | Non-Participating Provider | NO | |
| 1255453882 | CHILDREN'S DENTAL HEALTH CENTER OF SAN DIEGO SAN DIEGO CHILDREN'S DENTAL HEALTH CENTER (Organization) | 1270 24TH ST SAN DIEGO, CA 92102 (619) 234-8131 | Non-Participating Provider | NO | |
| 1255474532 | JAMES RYAN TEAL (Individual) | 11835 CARMEL MTN RD #1306 SAN DIEGO, CA 92128 (858) 485-5552 |
| Non-Participating Provider | YES |
| 1255482527 | ROBERT FERDOWSMAKAN (Individual) | 4765 CARMEL MOUNTAIN RD STE 105 SAN DIEGO, CA 92130 (858) 481-8248 |
| Non-Participating Provider | YES |
| 1255486601 | LINDY D RUCKS (Individual) | 5775 BRITTANY FORREST LN SAN DIEGO, CA 92130 (847) 624-1121 |
| Non-Participating Provider | YES |
| 1255666228 | DEVON LIA-SOAN WAN (Individual) | 1809 NATIONAL AVE SAN DIEGO, CA 92113 (619) 515-2394 |
| Non-Participating Provider | YES |
| 1255752564 | DIANA KIM (Individual) | 5060 LOGAN AVE SAN DIEGO, CA 92113 (310) 817-1898 | Non-Participating Provider | NO | |
| 1265048409 | SARA SIRAJ (Individual) | 7720 TYROLEAN RD SAN DIEGO, CA 92126 (469) 386-1745 | Non-Participating Provider | NO | |
| 1265126767 | CHRISTIAN BILLINGS (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-9396 | Non-Participating Provider | NO | |
| 1265275457 | ISAIAH JOHN RABATA (Individual) | 2310 CRAVEN ST BLDG 3230 SAN DIEGO, CA 92136 (619) 556-8240 | Non-Participating Provider | NO | |
| 1265482244 | MICHELE M. YAMADA (Individual) | 1802 CABLE ST SAN DIEGO, CA 92107 (619) 223-3423 | Opted out of Medicare | YES | |
| 1265543177 | DAVID C ADAMS (Individual) | 420 SPRUCE ST SUITE B SAN DIEGO, CA 92103 (619) 291-5266 | Non-Participating Provider | NO | |
| 1265550925 | JEFF L MUEHL (Individual) | 4510 EXECUTIVE DR STE 201 SAN DIEGO, CA 92121 (858) 457-7991 | Non-Participating Provider | NO | |
| 1265557037 | MICHELLE M ESPINOZA (Individual) | 3737 MORAGA AVE. STE: B-414 SAN DIEGO, CA 92117 (858) 272-5550 | Non-Participating Provider | NO | |
| 1265567713 | ALIREZA AMIRI (Individual) | 10865 LA ALBERCA AVE SAN DIEGO, CA 92127 (858) 361-1832 |
| Non-Participating Provider | NO |
| 1265626329 | NASHWA NOEL GEBRI (Individual) | 4060 FAIRMOUNT AVE SAN DIEGO, CA 92105 (619) 328-1335 |
| Non-Participating Provider | NO |
| 1265630099 | WILLIAM J BRIGGS (Individual) | 3782 CLAIREMONT DR SAN DIEGO, CA 92117 (858) 483-9794 | Non-Participating Provider | NO | |
| 1265670558 | JENNY TSAI (Individual) | 4897 ALMONDWOOD WAY SAN DIEGO, CA 92130 (858) 755-8788 |
| Non-Participating Provider | NO |
| 1265708358 | QUY LAM NGUYEN DDS INC DR Q DENTAL GROUP (Organization) | 8963 MIRA MESA BLVD SAN DIEGO, CA 92126 (858) 757-9171 |
| Non-Participating Provider | NO |
| 1265717391 | MAMORU TANAKA (Individual) | 8008 FROST ST # 800 SAN DIEGO, CA 92123 (617) 459-9491 | Non-Participating Provider | NO | |
| 1265763197 | KATAYOUN AFSHAR AND AFSHIN HABASHI DENTAL CORPORATION STONECREST DENTAL GROUP AND ORTHODONTICS (Organization) | 3737 MURPHY CANYON RD STE C-2 SAN DIEGO, CA 92123 (858) 694-0790 | Non-Participating Provider | NO | |
| 1265767644 | MISSION VALLEY ORAL & MAXILLOFACIAL SURGERY, INC. (Organization) | 2878 CAMINO DEL RIO S SUITE 210 SAN DIEGO, CA 92108 (619) 298-2200 | Non-Participating Provider | NO | |
| 1265892814 | MARINA MARKOVA (Individual) | 4060 FAIRMOUNT AVE SAN DIEGO, CA 92105 (619) 564-7017 |
| Non-Participating Provider | YES |
| 1275011165 | ANDREW JACOB KEITH (Individual) | 3645 4TH AVE SAN DIEGO, CA 92103 (619) 291-2980 |
| Non-Participating Provider | NO |
| 1275174310 | YIGE ZHAO DENTAL CORPORATION RANCHO PENASQUITOS DENTISTRY DENTAL GROUP (Organization) | 9840 CARMEL MOUNTAIN RD SAN DIEGO, CA 92129 (858) 240-9953 |
| Non-Participating Provider | NO |
| 1275347874 | PARKS DENTAL CORPORATION (Organization) | 2751 ROOSEVELT RD STE 203 SAN DIEGO, CA 92106 (775) 450-8824 | Non-Participating Provider | NO | |
| 1275503625 | BRENDA LEE NELSON (Individual) | 6727 FLANDERS DRIVE STE 101 SAN DIEGO, CA 92121 (858) 784-0600 | Opted out of Medicare | YES | |
| 1275506701 | PETER ANTHONY RUOCCO (Individual) | 34800 BOB WILSON DR NMCSD, ATTN: MEDICAL STAFF SERVICES SAN DIEGO, CA 92134 (619) 532-6460 | Non-Participating Provider | NO | |
| 1275594558 | IRENE SACAMAY OLAES (Individual) | 12335 WORLD TRADE DR 1B SAN DIEGO, CA 92128 (858) 487-4683 |
| Non-Participating Provider | NO |
| 1275634834 | SCOTT RAUVOLA (Individual) | 2130 4TH AVE SAN DIEGO, CA 92101 (619) 298-9383 |
| Non-Participating Provider | YES |
| 1275636870 | MAXIMO DANIEL MEZA-CRESPO (Individual) | 3177 OCEAN VIEW BLVD SAN DIEGO, CA 92113 (619) 662-4100 |
| Non-Participating Provider | YES |
| 1275639528 | FLORABEL FORTUND OLIVER BADILLO (Individual) | 10717 CAMINO RUIZ 150 SAN DIEGO, CA 92126 (858) 566-6099 |
| Non-Participating Provider | NO |
| 1275645970 | NOEL CATHERINE MOSER-KIM (Individual) | 17115 ALBERT AVE SAN DIEGO, CA 92127 (858) 200-6178 |
| Non-Participating Provider | NO |
| 1275648685 | DAVID CORNEJO NORIEGA (Individual) | 1809 NATIONAL AVE SAN DIEGO, CA 92113 (619) 515-2300 | Non-Participating Provider | YES | |
| 1275654501 | ANNE SOOYUN KIM (Individual) | 501 WASHINGTON ST STE 740 SAN DIEGO, CA 92103 (619) 296-2172 |
| Non-Participating Provider | NO |
| 1275668717 | THUYDUONG T TRUONG (Individual) | 13297 BLACK MOUNTAIN RD STE 7 SAN DIEGO, CA 92129 (858) 484-4707 |
| Non-Participating Provider | NO |
| 1275685604 | ALI FAKHIMI (Individual) | 3735 CLAIREMONT MESA BLVD SAN DIEGO, CA 92117 (858) 274-8200 |
| Non-Participating Provider | NO |
| 1275789356 | MATTHEW RAYMOND CARPENTER (Individual) | 12075 CARMEL MOUNTAIN RD STE 210 SAN DIEGO, CA 92128 (858) 487-6453 | Non-Participating Provider | NO | |
| 1275833956 | 4030 DENTAL INC. (Organization) | 6175 EL CAJON BLVD SAN DIEGO, CA 92115 (630) 567-6373 | Non-Participating Provider | NO | |
| 1275837171 | TIMOTHY TIEN DDS PC BOULEVARD DENTAL CENTER (Organization) | 3531 EL CAJON BLVD SUITE A SAN DIEGO, CA 92104 (619) 584-8975 |
| Non-Participating Provider | NO |
| 1275888257 | VALENCIA TATANIA LUCKMAN (Individual) | 3737 MORAGA AVE B-206 SAN DIEGO, CA 92117 (858) 273-0700 |
| Non-Participating Provider | NO |
| 1275903098 | LAWRENCE M ADDLESON (Individual) | 2840 5TH AVE 300 SAN DIEGO, CA 92103 (619) 291-4325 | Non-Participating Provider | NO | |
| 1275924995 | PRATIMA S. GOWDAR, DDS, INC SMILE OCEAN DENTAL PRACTICE (Organization) | 4655 CASS ST. STE 104, SAN DIEGO, CA 92109 (858) 483-3302 | Non-Participating Provider | NO | |
| 1275932188 | JOSE CARLOS CASTILLO (Individual) | 2918 FIFTH AVE STE 310 SAN DIEGO, CA 92103 (619) 295-2288 |
| Non-Participating Provider | NO |
| 1275949885 | TERRI NGUYEN (Individual) | 926 HORNBLEND ST SAN DIEGO, CA 92109 (858) 273-7900 |
| Non-Participating Provider | NO |
| 1275963407 | SIMPSON DENTAL ASSOCIATES BARBARA PERLITCH DDS (Organization) | 2333 CAMINO DEL RIO S STE 310 SAN DIEGO, CA 92108 (619) 298-1500 | Non-Participating Provider | NO | |
| 1275977514 | MARY ANN SANVICTORES (Individual) | 4305 UNIVERSITY AVE STE 120 SAN DIEGO, CA 92105 (619) 285-8135 |
| Non-Participating Provider | YES |
| 1275985384 | JEFFERSON KIM (Individual) | 5550 CARMEL MOUNTAIN RD STE 101 SAN DIEGO, CA 92130 (858) 251-1407 |
| Non-Participating Provider | YES |
| 1285158949 | JOSEPH DOUGLAS PHILLIPS (Individual) | 10737 CAMINO RUIZ STE 210 SAN DIEGO, CA 92126 (858) 578-1822 |
| Non-Participating Provider | NO |
| 1285325381 | JAMES RICHARDSON (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8240 | Non-Participating Provider | NO | |
| 1285329680 | KEVIN TAN DDS INC KEVIN TAN DDS INC (Organization) | 11665 AVENA PL STE 105 SAN DIEGO, CA 92128 (858) 674-6161 | Non-Participating Provider | NO | |
| 1285389130 | STEMPFLE DENTAL CORPORATION (Organization) | 12853 EL CAMINO REAL STE 205 SAN DIEGO, CA 92130 (858) 751-2221 | Non-Participating Provider | NO | |
| 1285455931 | SINAN SHISHA, DDS, INC. (Organization) | 9750 MIRAMAR RD STE 160 SAN DIEGO, CA 92126 (619) 381-9932 | Non-Participating Provider | NO | |
| 1285607077 | SCOTT MITCHELL SMITH (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-9984 |
| Non-Participating Provider | NO |
| 1285614891 | RICHARD ANTHONY JORALMON (Individual) | 34800 BOB WILSON DR NMCSD, ATTN: MEDICAL STAFF SERVICES SAN DIEGO, CA 92134 (619) 532-6460 | Non-Participating Provider | NO | |
| 1285627737 | MELISSA LEE RUFF (Individual) | 3802 CLAIREMONT MESA BLVD SAN DIEGO, CA 92117 (858) 200-7308 |
| Non-Participating Provider | NO |
| 1285650366 | CATHLEEN SILLIMAN (Individual) | 2322 6TH AVE FL 3 SAN DIEGO, CA 92101 (619) 238-2388 |
| Opted out of Medicare | YES |
| 1285658203 | DAVID WARREN RICHARDS (Individual) | 4060 4TH AVE SUITE 303 SAN DIEGO, CA 92103 (619) 543-0905 | Non-Participating Provider | NO | |
| 1285702290 | ROBERT ROBINSON, D.D.S. A PROFESSIONAL DENTAL CORPORATION (Organization) | 995 GATEWAY CENTER WAY SUITE 301 SAN DIEGO, CA 92102 (619) 263-6648 | Non-Participating Provider | NO | |
| 1285716514 | A JAMES MUIR (Individual) | 910 GRAND AVE SUITE 209 SAN DIEGO, CA 92109 (858) 274-1000 |
| Non-Participating Provider | NO |
| 1285726380 | JON E PETERSON (Individual) | 4076 3RD AVE # SU.201 SAN DIEGO, CA 92103 (619) 298-2322 | Non-Participating Provider | NO | |
| 1285779934 | DANIEL EDWARD STRAGIER (Individual) | 4340 GENESEE AVE #202 SAN DIEGO, CA 92117 (858) 541-1844 |
| Non-Participating Provider | NO |
| 1285786616 | BOSWORTH, INC A DENTAL CORPORATION (Organization) | 7675 DAGGET ST #160 SAN DIEGO, CA 92111 (858) 292-4566 | Non-Participating Provider | NO | |
| 1285839639 | BRADLEY A. ROSS (Individual) | 6902 NAVAJO RD SAN DIEGO, CA 92119 (619) 582-9700 | Non-Participating Provider | YES | |
| 1285859116 | LARRY A WOZNUK (Individual) | 3625 MIDWAY DR STE A SAN DIEGO, CA 92110 (619) 224-2204 | Opted out of Medicare | YES | |
| 1285942532 | SEAN DANIELS (Individual) | 9750 MIRAMAR RD STE 375 SAN DIEGO, CA 92126 (858) 635-9569 |
| Non-Participating Provider | NO |
| 1285987396 | GERALD HANDLER (Individual) | 7914 RONSON RD SUITE A SAN DIEGO, CA 92111 (858) 277-6833 | Non-Participating Provider | NO | |
| 1295126258 | MALLEMPALLI DDS INC (Organization) | 9359 MIRA MESA BLVD N/A SAN DIEGO, CA 92126 (858) 549-8045 |
| Non-Participating Provider | NO |
| 1295182954 | RYAN JACOB DAVIS (Individual) | NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE SAN DIEGO, CA 92134 (619) 532-7935 |
| Non-Participating Provider | NO |
| 1295210920 | HIBA ALABDULLAH (Individual) | 6482 AMBROSIA DR APT 5106 SAN DIEGO, CA 92124 (310) 218-8140 |
| Non-Participating Provider | NO |
| 1295252443 | STEPHANIE MAE MULICK (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6400 | Non-Participating Provider | NO | |
| 1295310456 | AJITESH SINGH (Individual) | 9870 CARROLL CANYON RD APT 115 SAN DIEGO, CA 92131 (619) 704-2508 |
| Non-Participating Provider | NO |
| 1295522183 | MARIA JOSE MUCINO ESCOBEDO (Individual) | 9840 CARMEL MOUNTAIN RD SAN DIEGO, CA 92129 (858) 240-9953 | Non-Participating Provider | NO | |
| 1295564383 | KARAM KORYA (Individual) | 11230 SORRENTO VALLEY RD STE 130 SAN DIEGO, CA 92121 (858) 682-2921 | Non-Participating Provider | NO | |
| 1295700797 | KYLE JAMES GERNHOFER (Individual) | 4707 MISSION BLVD SAN DIEGO, CA 92109 (858) 483-6851 | Non-Participating Provider | NO | |
| 1295757342 | JOSEPH GORDON (Individual) | 9728 CARMEL MOUNTAIN RD SUITE F SAN DIEGO, CA 92129 (858) 484-1333 | Non-Participating Provider | NO | |
| 1295801561 | DR PABLO ENRIQUE LICIAGA DDS (Organization) | 2115 BACON ST SAN DIEGO, CA 92107 (619) 224-2986 |
| Non-Participating Provider | NO |
| 1295802973 | MARTIN HUGH THURSTON (Individual) | 11616 IBERIA PLACE SAN DIEGO, CA 92128 (858) 676-5010 | Non-Participating Provider | NO | |
| 1295846764 | MICHAEL J MAHAFFEY (Individual) | 3750 CONVOY ST SUITE 307 SAN DIEGO, CA 92111 (858) 277-4453 | Non-Participating Provider | NO | |
| 1295869287 | KAMBIZ ARDJMAND, D.D.S., INC. SUNSHINE DENTISTRY (Organization) | 4230 30TH ST SAN DIEGO, CA 92104 (619) 282-1007 |
| Non-Participating Provider | NO |
| 1295875565 | FARHOUD RASTEGAR (Individual) | 1450 FRAZEE RD 209 SAN DIEGO, CA 92108 (619) 574-6678 |
| Non-Participating Provider | NO |
| 1295883882 | SHUSHILA SHAW (Individual) | 823 GATEWAY CENTER WAY SAN DIEGO, CA 92102 (619) 515-2323 | Non-Participating Provider | NO | |
| 1295953925 | MORTEZA KHATIBZADEH (Individual) | 4060 FAIRMOUNT AVE SAN DIEGO, CA 92105 (619) 280-4213 |
| Non-Participating Provider | YES |
| 1295958759 | MARK RANDAL BISHOP (Individual) | 7525 LINDA VISTA RD STE B SAN DIEGO, CA 92111 (858) 279-2360 |
| Non-Participating Provider | NO |
| 1306055199 | ANTONY KRUGER CHRISTENSEN (Individual) | 3737 MORAGA AVE SUITE A-104 SAN DIEGO, CA 92117 (858) 273-3181 | Non-Participating Provider | NO | |
| 1306068887 | JUSTIN SENG, D.D.S. (Organization) | 4698 CONVOY STREET #203 SAN DIEGO, CA 92111 (858) 565-2811 | Non-Participating Provider | NO | |
| 1306156823 | KELVIN CHOU (Individual) | 6235 LUSK BLVD SAN DIEGO, CA 92121 (858) 558-3636 |
| Non-Participating Provider | NO |
| 1306229703 | MICHAEL J. MILLER, DMD, A PROFESSIONAL CORPORATION TIERRASANTA PLAZA DENTAL CARE (Organization) | 10715 TIERRASANTA BLVD SUITE C SAN DIEGO, CA 92124 (858) 278-6444 |
| Non-Participating Provider | NO |
| 1306352695 | NATHAN HIEN LE, DDS. INC (Organization) | 4170 FAIRMOUNT AVE. SAN DIEGO, CA 92105 (619) 280-3322 |
| Non-Participating Provider | NO |
| 1306365259 | JOHN Y KIM (Individual) | 4428 CONVOY ST STE 230 SAN DIEGO, CA 92111 (858) 573-2833 |
| Non-Participating Provider | NO |
| 1306384938 | NAJMEH HANNANVASH DDS, INC LITTLE STAR PEDIATRIC DENTISTRY (Organization) | 5550 CARMEL MOUNTAIN RD STE 200 SAN DIEGO, CA 92130 (619) 630-4000 | Non-Participating Provider | NO | |
| 1306385034 | ROBERT K. SCHAFFER DDS INC SCHAFFER DENTAL EXCELLENCE (Organization) | 12750 CARMEL COUNTRY RD 205 SAN DIEGO, CA 92130 (858) 481-1148 | Non-Participating Provider | NO | |
| 1306388418 | KATHRINA AGATEP DDS, PC DENTAL DESIGN SD (Organization) | 9540 WAPLES ST SUITE A SAN DIEGO, CA 92121 (858) 490-4281 | Non-Participating Provider | NO | |
| 1306407267 | RENZ ANTHONY TAN ANTONIO (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-8600 | Non-Participating Provider | NO | |
| 1306410931 | CHRISTIANE CHAMMAS (Individual) | 2050 EL CAJON BLVD SAN DIEGO, CA 92104 (619) 637-9774 |
| Non-Participating Provider | YES |
| 1306432752 | HUY THE NGUYEN (Individual) | 9737 AERO DR STE 210 SAN DIEGO, CA 92123 (619) 302-2136 |
| Non-Participating Provider | NO |
| 1306519079 | TYLER KUWAMOTO (Individual) | 4276 54TH PL SAN DIEGO, CA 92115 (619) 256-0566 |
| Non-Participating Provider | NO |
| 1306539333 | SCRIPPS RANCH DENTAL (Organization) | 10549 SCRIPPS POWAY PARKWAY #1 SAN DIEGO, CA 92131 (858) 225-1212 | Non-Participating Provider | NO | |
| 1306634407 | THONG DUONG DDS, INC. (Organization) | 4448 UNIVERSITY AVE STE D SAN DIEGO, CA 92105 (619) 521-6798 | Non-Participating Provider | NO | |
| 1306839386 | JOSE ANTONIO SURIS (Individual) | BRANCH DENTAL CLINIC MCAS MIRAMAR BUILDING 2495 SAN DIEGO, CA 92145 (858) 577-1825 | Non-Participating Provider | NO | |
| 1306897228 | HELEN HONG YANG (Individual) | 12798 RANCHO PENASQUITOS BLVD STE I SAN DIEGO, CA 92129 (858) 484-8500 |
| Non-Participating Provider | NO |
| 1306900683 | KWANG J KIM (Individual) | 10737 CAMINO RUIZ SAN DIEGO, CA 92126 (858) 549-7181 | Non-Participating Provider | NO | |
| 1306904826 | MAURA C TUSO (Individual) | 4177 W POINT LOMA BLVD SAN DIEGO, CA 92110 (503) 707-6642 |
| Non-Participating Provider | NO |
| 1306935234 | ANTON BISBAS (Individual) | 12750 CARMEL COUNTRY RD SUITE 202 SAN DIEGO, CA 92130 (858) 755-5363 |
| Non-Participating Provider | NO |
| 1306953690 | JIM S CHANG DDS INC PENASQUITOS POINT FAMILY DENTRISTRY (Organization) | 12798 RANCH PENASQUITOS BLVD SUITE I SAN DIEGO, CA 92129 (858) 484-9776 |
| Non-Participating Provider | NO |
| 1306954045 | VALERIE ELIZABETH KAENEL (Individual) | 501 WASHINGTON ST. SUITE 704 SAN DIEGO, CA 92103 (619) 688-1001 |
| Non-Participating Provider | NO |
| 1306976121 | HUNG KHAI NGUYEN (Individual) | 4712 EL CAJON BLVD #G SAN DIEGO, CA 92115 (619) 521-0580 |
| Non-Participating Provider | NO |
| 1306982301 | MELANIE N. WANG, DDS, MSD, ADC (Organization) | 10432 RESERVE DRIVE SUITE 114 SAN DIEGO, CA 92127 (858) 752-8131 |
| Non-Participating Provider | NO |
| 1316026552 | PAUL E. KOSCIUK (Individual) | 6565 BALBOA AVE SAN DIEGO, CA 92111 (858) 729-2122 | Non-Participating Provider | NO | |
| 1316030463 | MARK C BROWNE (Individual) | 5995 MISSION GORGE RD STE A SAN DIEGO, CA 92120 (619) 280-6500 | Non-Participating Provider | NO | |
| 1316077753 | ROBERT S CHEUNG (Individual) | 4546 COLLEGE AVE SAN DIEGO, CA 92115 (619) 583-9060 | Non-Participating Provider | NO | |
| 1316131451 | NATALYA CARMICHAEL (Individual) | 9728 CARMEL MOUNTAIN RD STE B SAN DIEGO, CA 92129 (858) 484-2460 |
| Non-Participating Provider | YES |
| 1316140957 | SHINA DINESH PATEL (Individual) | 10672 WEXFORD ST SAN DIEGO, CA 92131 (858) 270-2126 |
| Non-Participating Provider | YES |
| 1316161961 | VIJAYA KV PRABHU.DDS. A PROFFESSIONAL CORP WESTVIEW DENTAL OFFICE (Organization) | 13350 CAMINO DEL SUR SUITE # 6 SAN DIEGO, CA 92129 (858) 484-9977 |
| Non-Participating Provider | NO |
| 1316163819 | MARK W CHRISTENSEN (Individual) | 7187 NAVAJO RD. SUITE A SAN DIEGO, CA 92119 (619) 644-1236 |
| Non-Participating Provider | NO |
| 1316167273 | JOHN CHARLES LUOMANEN (Individual) | 4970 BEAUCHAMP CT SAN DIEGO, CA 92130 (858) 775-4022 | Non-Participating Provider | NO | |
| 1316171937 | LA JOLLA DENTAL SPECIALTY GROUP (Organization) | 4510 EXECUTIVE DR SUITE 205 SAN DIEGO, CA 92121 (858) 546-1802 |
| Non-Participating Provider | NO |
| 1316275407 | MIRNA NGUYEN (Individual) | 3202 GOVERNOR DR SUITE 207 SAN DIEGO, CA 92122 (858) 450-1334 |
| Non-Participating Provider | YES |
| 1316289200 | SEDIGHEH ROYA SADRIAN, DDS, INC. ABC CHILDREN'S DENTISTRY (Organization) | 12778 RANCHO PENASQUITOS BLVD STE A SAN DIEGO, CA 92129 (858) 780-9794 |
| Non-Participating Provider | NO |
| 1316305246 | ALISHA NICHOLS THANOS (Individual) | 3350 LA JOLLA VILLAGE DR # 160 SAN DIEGO, CA 92161 (858) 552-7525 | Non-Participating Provider | NO | |
| 1316305311 | SHAGHAYEGH TAHRIRIAN DMD, INC NEW SMILE DENTISTRY (Organization) | 2780 CARDINAL RD STE B SAN DIEGO, CA 92123 (858) 278-7645 | Non-Participating Provider | NO | |
| 1316314263 | LEILA HAMRAZ (Individual) | 3855 ELIJAH CT UNIT 738 SAN DIEGO, CA 92130 (858) 210-5065 |
| Non-Participating Provider | YES |
| 1316316706 | MORGAN BISBAS (Individual) | 12750 CARMEL COUNTRY RD STE 202 SAN DIEGO, CA 92130 (858) 442-2976 |
| Non-Participating Provider | YES |
| 1316385578 | JENNA KATHLEEN MCDONALD (Individual) | 4072 ADAMS AVE SAN DIEGO, CA 92116 (310) 880-7624 |
| Non-Participating Provider | NO |
| 1316422181 | JENNIFER BARBA ROMERO (Organization) | 1041 MARKET ST STE 165 SAN DIEGO, CA 92101 (618) 488-3200 | Non-Participating Provider | NO | |
| 1316469844 | ALI MAHMOUD ALDABE (Individual) | 5189 CLAIREMONT MESA BLVD SAN DIEGO, CA 92117 (708) 979-4157 |
| Non-Participating Provider | YES |
| 1316472996 | CATHY ANN WILLIAMS (Individual) | 5106 FEDERAL BLVD STE 209 SAN DIEGO, CA 92105 (619) 264-0179 |
| Non-Participating Provider | NO |
| 1316473267 | DR ROLAND GOLDBERG DENTAL CORPORATION (Organization) | 8915 TOWNE CENTRE DR # 112-114 SAN DIEGO, CA 92122 (858) 558-7713 | Non-Participating Provider | NO | |
| 1316580285 | C. ASHMORE DENTAL CORP. (Organization) | 15717 BERNARDO HEIGHTS PKWY SAN DIEGO, CA 92128 (619) 701-6643 |
| Non-Participating Provider | NO |
| 1316672918 | AMBER R KAPLAN (Individual) | 2840 FIFTH AVE STE 300 SAN DIEGO, CA 92103 (619) 291-4325 | Non-Participating Provider | NO | |
| 1316952096 | NILOOFAR ROSTAMI (Individual) | 1809 NATIONAL AVE SAN DIEGO, CA 92113 (619) 515-2300 | Non-Participating Provider | NO | |
| 1316987415 | RICHARD J. EWING (Individual) | 3340 KEMPER ST SUITE 201 SAN DIEGO, CA 92110 (619) 224-2828 | Opted out of Medicare | YES | |
| 1326021643 | ROBERT BRUCE FOLK (Individual) | 11777 BERNARDO PLAZA CT SUITE 209 SAN DIEGO, CA 92128 (858) 487-1559 |
| Non-Participating Provider | YES |
| 1326030990 | JOHN RAY GORDON (Individual) | 2655 CAMINO DEL RIO N STE 140 SAN DIEGO, CA 92108 (619) 282-7088 | Non-Participating Provider | NO | |
| 1326060799 | JOHN DAVID NEUENSWANDER (Individual) | 6616 MISSION GORGE RD SAN DIEGO, CA 92120 (619) 280-7866 |
| Non-Participating Provider | NO |
| 1326113853 | DENNIS G OATES (Individual) | 4251 INGRAHAM ST SAN DIEGO, CA 92109 (858) 273-9435 | Non-Participating Provider | NO | |
| 1326119892 | THONG MINH DUONG (Individual) | 4448 UNIVERSITY AVE STE D SAN DIEGO, CA 92105 (858) 603-9027 |
| Non-Participating Provider | NO |
| 1326169954 | WILLIAM FREDERICK HALLIGAN (Individual) | 4320 GENESEE AVE STE 207 SAN DIEGO, CA 92117 (858) 277-3910 | Non-Participating Provider | NO | |
| 1326170929 | ALLAN KENT PATCH (Individual) | 6324 UNIVERSITY AVE SAN DIEGO, CA 92115 (619) 582-4224 |
| Non-Participating Provider | NO |
| 1326171653 | WILLIAM JOSEPH DI ZINNO (Individual) | 2310 CRAVEN ST NASNI SAN DIEGO, CA 91950 (619) 545-6395 | Non-Participating Provider | NO | |
| 1326205279 | LYNNE D THOMAS (Individual) | 15717 BERNARDO HEIGHTS PKWY SAN DIEGO, CA 92128 (858) 451-3110 | Non-Participating Provider | YES | |
| 1326220609 | RICHARD POLITO (Individual) | 480 ALTA RD RICHARD J. DONOVAN CORRECTIONAL FACILITY SAN DIEGO, CA 92179 (619) 661-6500 | Non-Participating Provider | NO | |
| 1326247040 | ROBERT R GOEHL (Individual) | 7675 DAGGET ST 160 SAN DIEGO, CA 92111 (858) 292-4566 | Non-Participating Provider | NO | |
| 1326266016 | JAMES H. ISAACSON (Individual) | 9040 FRIARS RD STE 105 SAN DIEGO, CA 92108 (619) 282-7088 | Non-Participating Provider | NO | |
| 1326267410 | CRAIG ALLEN BOWLES (Individual) | 6110 FRIARS RD STE 104 SAN DIEGO, CA 92108 (619) 299-0171 | Non-Participating Provider | NO | |
| 1326415878 | ANDREW ZAKARIAN (Individual) | 3501 4TH AVE SAN DIEGO, CA 92103 (619) 296-6899 | Non-Participating Provider | YES | |
| 1326513474 | NICOLE LAMANTIA (Individual) | 4347 NOBEL DR UNIT 133 SAN DIEGO, CA 92122 (415) 763-8337 |
| Non-Participating Provider | NO |
| 1326604364 | KAREN ASHLEY MERRIWEATHER (Individual) | 823 GATEWAY CENTER WAY SAN DIEGO, CA 92102 (619) 515-2300 |
| Non-Participating Provider | YES |
| 1326613803 | ASHLY MAUREEN ROTHROCK (Individual) | MEDICAL STAFF SERVICES CODE N01H COMNAVSURFPAC SAN DIEGO, CA 92155 (619) 437-2860 | Non-Participating Provider | NO | |
| 1326771593 | YUN Y LEE (Individual) | 2398 FENTON PKWY APT 115 SAN DIEGO, CA 92108 (719) 246-0452 | Non-Participating Provider | NO | |
| 1326800129 | DAVID C CHOTINER DMD (Organization) | 1230 COLUMBIA ST STE 870 SAN DIEGO, CA 92101 (619) 822-2919 |
| Non-Participating Provider | NO |
| 1326931437 | JERRY ALONZA JARRETT (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8240 | Non-Participating Provider | NO | |
| 1336112721 | LEE JAMES SLATER (Individual) | 5190 GOVERNOR DR SUITE 106 SAN DIEGO, CA 92122 (858) 784-0600 | Opted out of Medicare | YES | |
| 1336210103 | COMMUNITY DENTAL SERVICES SMILECARE DENTAL GROUP (Organization) | 1333 CAMINO DEL RIO S #202 SAN DIEGO, CA 92108 (619) 260-4990 | Non-Participating Provider | NO | |
| 1336242718 | BOOTH & WILLIAMS DENTAL CORP UPTOWN DENTAL DESIGNS (Organization) | 3703 4TH AVE SAN DIEGO, CA 92103 (619) 546-0488 | Non-Participating Provider | NO | |
| 1336250216 | DONALD ROBERT FLEMING (Individual) | 7676 JACKSON DR SAN DIEGO, CA 92119 (619) 582-3600 |
| Non-Participating Provider | YES |
| 1336268085 | MELANIE SUE PARKER (Individual) | 3737 MORAGA AVE STE. A -303 SAN DIEGO, CA 92117 (858) 274-0777 | Non-Participating Provider | NO | |
| 1336270321 | CURTIS LELAND CHAN (Individual) | 12750 CARMEL COUNTRY RD SUITE 200 SAN DIEGO, CA 92130 (858) 481-9090 | Non-Participating Provider | NO | |
| 1336298058 | MATTHEW B KRIEWALDT (Individual) | 2310 CRAVEN ST BLDG 3230 SAN DIEGO, CA 92136 (619) 701-3900 |
| Non-Participating Provider | NO |
| 1336329135 | JON WILLIAM CASSELL (Individual) | 591 CAMINO DE LA REINA SUITE 412 SAN DIEGO, CA 92108 (619) 220-7475 |
| Non-Participating Provider | YES |
| 1336330984 | XUAN T LAM (Individual) | 3823 8TH AVE SAN DIEGO, CA 92103 (910) 787-6224 |
| Non-Participating Provider | NO |
| 1336366616 | S. T. TANI, A DENTAL CORPORATION FRIARS MISSION DENTAL GROUP (Organization) | 5638 MISSION CENTER RD #104 SAN DIEGO, CA 92108 (619) 293-7164 | Non-Participating Provider | NO | |
| 1336472414 | ERIC L BISCHOFF (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (714) 206-7382 |
| Accepts Medicare | YES |
| 1336494392 | ROSHANAK ROSHANZAMIR (Individual) | 4765 CARMEL MOUNTAIN RD STE 208 SAN DIEGO, CA 92130 (858) 259-4765 |
| Non-Participating Provider | NO |
| 1336557628 | KERRY BETH BAUMANN (Individual) | NMCSD LABORATORY EDA 13 SUITE 305 34800 BOB WILSON DRIVE SAN DIEGO, CA 92134 (518) 598-4190 | Non-Participating Provider | NO | |
| 1336659747 | DR'S ECKSTEIN, OLEKSY & GILE CENTER FOR ORAL & FACIAL SURGERY (Organization) | 306 WALNUT AVE STE 26 SAN DIEGO, CA 92103 (619) 588-4011 | Non-Participating Provider | NO | |
| 1336668110 | HOSS KM DENTAL GROUP, A PROFESSIONAL GROUP (Organization) | 9737 AERO DR SAN DIEGO, CA 92123 (619) 636-2665 |
| Non-Participating Provider | NO |
| 1336970516 | MARCELA PERALTA (Individual) | 3500 FIFTH AVE SAN DIEGO, CA 92103 (619) 298-2893 | Non-Participating Provider | NO | |
| 1346244621 | CAROL GOMEZ SUMMERHAYS (Individual) | 6635 FLANDERS DR STE E SAN DIEGO, CA 92121 (858) 457-4100 | Non-Participating Provider | NO | |
| 1346268109 | TAMI RD DECKER (Individual) | 6235 LUSK BLVD SAN DIEGO, CA 92121 (858) 558-3636 | Non-Participating Provider | NO | |
| 1346303849 | JOEL DAVID BERICK (Individual) | 6529 MISSION GORGE RD SAN DIEGO, CA 92120 (619) 283-3161 | Non-Participating Provider | NO | |
| 1346307402 | DAVID J. IRWIN (Individual) | 4462 OLNEY ST SAN DIEGO, CA 92109 (858) 274-8000 |
| Non-Participating Provider | NO |
| 1346338449 | GENE MATTHEW VELK (Individual) | 16810 BERNARDO CENTER DR SUITE A SAN DIEGO, CA 92128 (858) 485-1123 | Non-Participating Provider | NO | |
| 1346451812 | DHAFIR JALAL PETROS (Individual) | 4844 UNIVERSITY AVE SUIT B SAN DIEGO, CA 92105 (619) 285-5010 |
| Non-Participating Provider | YES |
| 1346494986 | GARY VAUGHN PASCUA (Individual) | MCAS MIRAMAR DENTAL CLINIC SAN DIEGO, CA 92145 (858) 577-1825 |
| Non-Participating Provider | YES |
| 1346506201 | JONATHAN JOSEPH SHELTON (Individual) | 6386 ALVARADO CT STE 110 SAN DIEGO, CA 92120 (619) 287-5000 |
| Non-Participating Provider | NO |
| 1346510567 | HEESEON KO (Individual) | 7825 ENGINEER RD SAN DIEGO, CA 92111 (858) 279-1004 | Non-Participating Provider | NO | |
| 1346542545 | MICHAEL DO (Individual) | 4510 EXECUTIVE DR SUITE 205 SAN DIEGO, CA 92121 (858) 546-1802 |
| Non-Participating Provider | YES |
| 1346583069 | Z.E.S CUISIA DDS INC. A PROFESSIONAL CORPORATION CHILDREN'S DENTISTRY OF SAN DIEGO (Organization) | 10717 CAMINO RUIZ 103 SAN DIEGO, CA 92126 (858) 536-1111 | Non-Participating Provider | NO | |
| 1346741352 | SEYEDEH ZAHRA HASSANTASH (Individual) | 11415 LEGACY TER SAN DIEGO, CA 92131 (626) 589-6025 |
| Non-Participating Provider | NO |
| 1346768231 | STEPHAN SIDNEY BARRINGTON (Individual) | 6398 DEL CERRO BLVD STE 1 SAN DIEGO, CA 92120 (619) 286-1181 |
| Non-Participating Provider | NO |
| 1346773629 | G.C. ASHMORE DENTAL CORP. DENTAL EXPRESS (Organization) | 210 PARK BLVD SAN DIEGO, CA 92101 (619) 701-6628 |
| Non-Participating Provider | NO |
| 1346974656 | VIVIAN THI HUYNH (Individual) | 9225 MIRA MESA BLVD STE 103 SAN DIEGO, CA 92126 (858) 566-7645 | Non-Participating Provider | NO | |
| 1346996436 | DONALD KIEU (Individual) | 4060 FAIRMOUNT AVE SAN DIEGO, CA 92105 (619) 255-9155 |
| Non-Participating Provider | NO |
| 1356097695 | WILLIAMS-LANGLEY DENTAL CORPORATION VISIONARY DENTAL ARTS (Organization) | 5106 FEDERAL BLVD STE 209 SAN DIEGO, CA 92105 (347) 706-0175 | Non-Participating Provider | NO | |
| 1356173447 | CAMERON ALEXANDER KOHANI (Individual) | 4510 EXECUTIVE DR STE 205 SAN DIEGO, CA 92121 (858) 622-1007 |
| Non-Participating Provider | NO |
| 1356301709 | JOSEPH SNIDER, DDS AND TERRI NGUYEN, DDS, INC. PACIFIC BEACH DENTISTRY (Organization) | 945 HORNBLEND ST SUITE B SAN DIEGO, CA 92109 (858) 273-7900 | Non-Participating Provider | NO | |
| 1356447551 | LADISLAV MEDNANSKY (Individual) | 3350 LA JOLLA VILLAGE DR SAN DIEGO, CA 92161 (858) 922-2868 | Non-Participating Provider | NO | |
| 1356450159 | PHILLIP RANDOLPH JOHNSON (Individual) | 5454 EL CAJON BLVD SAN DIEGO, CA 92115 (619) 515-2400 |
| Non-Participating Provider | YES |
| 1356463970 | PAUL JEROME GRABER (Individual) | 2405 MORENA BLVD SAN DIEGO, CA 92110 (619) 276-6884 | Non-Participating Provider | NO | |
| 1356473516 | RONALD D. JOHNSON (Individual) | 9420 MIRA MESA BLVD STE D SAN DIEGO, CA 92126 (858) 695-1776 | Non-Participating Provider | NO | |
| 1356535330 | TANIA BAJARS (Individual) | 2930 CORONADO AVE STE C SAN DIEGO, CA 92154 (619) 423-3602 |
| Non-Participating Provider | NO |
| 1356552335 | GALLO MICHELS KORYUREK PROF DENTAL CORP HILLCREST FAMILY DENTAL (Organization) | 3330 3RD AVE STE 400 SAN DIEGO, CA 92103 (619) 291-8750 | Non-Participating Provider | NO | |
| 1356639876 | DAVIS DO (Individual) | 4110 W POINT LOMA BLVD SAN DIEGO, CA 92110 (619) 701-6622 |
| Non-Participating Provider | NO |
| 1356781553 | HILLSIDE FAMILY DENTAL CENTER (Organization) | 4990 70TH ST SAN DIEGO, CA 92115 (619) 466-7166 | Non-Participating Provider | NO | |
| 1356804074 | JIEYI ZHUANG (Individual) | 4320 GENESEE AVE STE 103 SAN DIEGO, CA 92117 (858) 598-6789 | Non-Participating Provider | YES | |
| 1356897235 | LU WANG (Individual) | MCAS MIRAMAR DENTAL CLINIC 7224 MITSCHER WAY SAN DIEGO, CA 92145 (588) 307-1825 | Non-Participating Provider | NO | |
| 1356913321 | AARON WILLIAM BARTO (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-7398 | Non-Participating Provider | NO | |
| 1356955033 | ALEXIS DAWSON (Individual) | 9840 CARMEL MOUNTAIN RD SAN DIEGO, CA 92129 (425) 760-3368 |
| Non-Participating Provider | NO |
| 1356965263 | RYAN ROBERT DULL (Individual) | 34800 BOB WILSON DR STE 1 SAN DIEGO, CA 92134 (619) 532-8038 | Non-Participating Provider | NO | |
| 1356992069 | DANIEL LUIS STUARDO (Individual) | 3900 FIFTH AVE STE 270 SAN DIEGO, CA 92103 (619) 810-1864 |
| Non-Participating Provider | NO |
| 1366009342 | COURTNEY MISLEH (Individual) | 4320 GENESEE AVE STE 204 SAN DIEGO, CA 92117 (858) 268-1618 | Non-Participating Provider | NO | |
| 1366013047 | MYNHAN THI LE (Individual) | 5675 BALBOA AVE SAN DIEGO, CA 92111 (868) 268-0110 |
| Non-Participating Provider | NO |
| 1366060808 | AZADEH KHAJAVI (Individual) | 16516 BERNARDO CENTER DR STE 210 SAN DIEGO, CA 92128 (858) 683-4862 | Non-Participating Provider | YES | |
| 1366178816 | AFSHIN HABASHI DDS INC (Organization) | 6101 MISSION GORGE RD SAN DIEGO, CA 92120 (619) 272-2271 | Non-Participating Provider | NO | |
| 1366215923 | SAMANTHA SCHALLER (Individual) | 1975 GARNET AVE STE E SAN DIEGO, CA 92109 (858) 866-0808 |
| Non-Participating Provider | YES |
| 1366222168 | KATHERINE C TAN DMD INC (Organization) | 3774 CLAIREMONT DR SAN DIEGO, CA 92117 (858) 274-1219 |
| Non-Participating Provider | NO |
| 1366259590 | GAVALDON DENTAL CORPORATION (Organization) | 8505 NAVAJO RD SAN DIEGO, CA 92119 (619) 697-6453 | Non-Participating Provider | NO | |
| 1366416992 | MARK FRANCIS ROBACK (Individual) | 34800 BOB WILSON DR NMCSD, ATTN: MEDICAL STAFF SERVICES SAN DIEGO, CA 92134 (619) 532-6460 | Non-Participating Provider | NO | |
| 1366435141 | MATTHEW BRIAN CHESLER (Individual) | 19871 MITSCHER WAY MCAS MIRAMAR SAN DIEGO, CA 92415 (760) 577-7857 |
| Non-Participating Provider | YES |
| 1366445363 | GORDANA MILATOVIC (Individual) | 12640 SABRE SPRINGS PKWY STE 103 SAN DIEGO, CA 92128 (858) 486-9096 | Non-Participating Provider | YES | |
| 1366449175 | RUSSELL E HAAG (Individual) | 3805 CLAIREMONT DR SAN DIEGO, CA 92117 (858) 278-8434 | Opted out of Medicare | YES | |
| 1366450413 | KENNETH ALLEN STORUM (Individual) | 2655 CAMINO DEL RIO NORTH #140 SAN DIEGO, CA 92108 (619) 282-7088 | Non-Participating Provider | NO | |
| 1366468753 | NELLIE PETRONELLA TAZBAZ (Individual) | 3796 CLAIREMONT DR SAN DIEGO, CA 92117 (858) 273-5788 |
| Non-Participating Provider | NO |
| 1366508020 | RANA K ISAQI (Individual) | 3659 INDIA ST STE #100 SAN DIEGO, CA 92103 (619) 297-7722 |
| Non-Participating Provider | YES |
| 1366530115 | N ABHARI DDS PC MISSION BAY FAMILY DENTAL CENTER (Organization) | 3023 BUNKER HILL ST SUITE 101 SAN DIEGO, CA 92109 (858) 270-1400 | Non-Participating Provider | NO | |
| 1366541658 | ALIREZA RAMIN GHASSEMI (Individual) | 12750 CARMEL COUNTRY RD SUITE 213 SAN DIEGO, CA 92130 (858) 481-8107 |
| Non-Participating Provider | NO |
| 1366551152 | KELLY M GOODIN (Individual) | 2701 2ND AVE #106 SAN DIEGO, CA 92103 (760) 636-2866 | Non-Participating Provider | NO | |
| 1366647687 | ROSS AND SALAZAR, INC COSMETIC DENTISTRY CENTER OF SAN DIEGO (Organization) | 702 C ST SAN DIEGO, CA 92101 (619) 544-0544 | Non-Participating Provider | NO | |
| 1366698268 | LULETTE ALVERO MERCADO (Individual) | 1484 HONEYSUCKLE LN SAN DIEGO, CA 92114 (619) 746-4083 |
| Non-Participating Provider | NO |
| 1366701096 | LANCE RYGG PROFESSIONAL DENTAL CORPORATION MISSION VALLEY DENTISTS (Organization) | 5638 MISSION CENTER RD SUITE 107 SAN DIEGO, CA 92108 (619) 220-0159 | Non-Participating Provider | NO | |
| 1366802878 | MELINDA MARINO DDS INC (Organization) | 9910 MIRA MESA BLVD STE D SAN DIEGO, CA 92131 (858) 578-0800 | Non-Participating Provider | NO | |
| 1366818353 | MARYAM AFZALI (Individual) | 16776 BERNARDO CENTER DR STE 105 SAN DIEGO, CA 92128 (858) 485-0044 |
| Non-Participating Provider | YES |
| 1366819583 | KENNY H TRAN (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-8600 | Non-Participating Provider | NO | |
| 1366877953 | PHILIP G. MENNA (Organization) | 4002 PARK BLVD STE D SAN DIEGO, CA 92103 (619) 220-7000 | Non-Participating Provider | NO | |
| 1376070136 | KAITLYN JOY NEGLERIO (Individual) | 13295 BLACK MOUNTAIN RD STE 3 SAN DIEGO, CA 92129 (858) 442-8909 | Non-Participating Provider | NO | |
| 1376083113 | TRAVIS STEINBERG (Individual) | 1806 CABLE ST SAN DIEGO, CA 92107 (619) 226-4784 |
| Non-Participating Provider | NO |
| 1376088955 | STROMMER DENTAL CORPORATION, P.C. (Organization) | 7892 CIVITA BLVD SAN DIEGO, CA 92108 (619) 993-5078 | Non-Participating Provider | NO | |
| 1376152934 | MARC DENTICO-OLIN DMD MD INC (Organization) | 2878 CAMINO DEL RIO S STE 210 SAN DIEGO, CA 92108 (619) 298-2200 |
| Non-Participating Provider | NO |
| 1376290825 | CHRISTOPHER CUONG PHAM DDS A PROFESSIONAL DENTAL CORPORATION (Organization) | 2987 CORONADO AVE SAN DIEGO, CA 92154 (619) 421-2155 |
| Non-Participating Provider | NO |
| 1376294009 | TIFFANY LU (Individual) | 7189 NAVAJO RD STE A SAN DIEGO, CA 92119 (619) 741-1500 |
| Non-Participating Provider | NO |
| 1376395103 | MAITAL CITRON (Individual) | 2050 EL CAJON BLVD SAN DIEGO, CA 92104 (619) 637-9774 | Non-Participating Provider | NO | |
| 1376547703 | DOUG DISRAELI (Individual) | 3645 4TH AVE SAN DIEGO, CA 92103 (619) 291-2980 | Non-Participating Provider | NO | |
| 1376622506 | MOJDEH ABBASIAN (Individual) | 9254 SCRANTON RD # 108 SAN DIEGO, CA 92121 (858) 453-4003 |
| Non-Participating Provider | NO |
| 1376633487 | JOY BONIFACIO LOCKWOOD (Individual) | 8590 RIO SAN DIEGO DR #110 SAN DIEGO, CA 92108 (619) 299-1122 |
| Opted out of Medicare | YES |
| 1376682583 | GUY CARLETON LICHTY (Individual) | 3030 CHILDRENS WAY SUITE 107 SAN DIEGO, CA 92123 (858) 492-9977 |
| Non-Participating Provider | YES |
| 1376694430 | HOWARD IAN KATZ (Individual) | 10432 RESERVE DRIVE #110 SAN DIEGO, CA 92127 (858) 487-6428 | Non-Participating Provider | NO | |
| 1376718676 | PEGAH SADEGHOLVAD SALAMI (Individual) | 12396 WORLD TRADE DR STE 208 SAN DIEGO, CA 92128 (858) 673-1000 |
| Non-Participating Provider | NO |
| 1376746685 | CHRISTINE JAVIER EVANS (Individual) | 12750 CARMEL COUNTRY RD SUITE 206 SAN DIEGO, CA 92130 (858) 755-3780 |
| Non-Participating Provider | NO |
| 1376787663 | VICKY CHANG (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8240 | Non-Participating Provider | NO | |
| 1376801191 | NAZAFARIN JAVDAN (Individual) | 9737 AERO DR STE 210 SAN DIEGO, CA 92123 (619) 336-8478 |
| Non-Participating Provider | NO |
| 1376803254 | SAN DIEGO CENTER FOR ORAL AND MAXILLOFACIAL SURGERY (Organization) | 8008 FROST ST SUITE 311 SAN DIEGO, CA 92123 (858) 292-5175 |
| Non-Participating Provider | NO |
| 1376822460 | JESSICA ANN ROEBER (Individual) | 5375 KEARNY VILLA RD STE 103 SAN DIEGO, CA 92123 (970) 210-5315 | Non-Participating Provider | NO | |
| 1376876961 | BRIAN JOSEPH ASBURY (Individual) | 7323 JACKSON DR SAN DIEGO, CA 92119 (619) 461-4310 | Non-Participating Provider | NO | |
| 1376886762 | THOMAS J KERRIAN (Individual) | 9955 CARMEL MOUNTAIN RD STE 4 SAN DIEGO, CA 92129 (858) 484-3100 | Non-Participating Provider | NO | |
| 1376914424 | ROSS DENTAL CORPORATION (Organization) | 6902 NAVAJO RD SAN DIEGO, CA 92119 (619) 582-9700 | Non-Participating Provider | NO | |
| 1376939603 | JOSEPH MALDONADO (Individual) | 10471 SAN DIEGO MISSION RD. SAN DIEGO, CA 92108 (619) 280-7362 | Non-Participating Provider | NO | |
| 1376988675 | BITA TAHVILDARI, D.D.S. (Organization) | 3588 4TH AVE SUITE 300 SAN DIEGO, CA 92103 (619) 295-5261 | Non-Participating Provider | NO | |
| 1386010361 | EVAN DEMKO (Individual) | 2654 4TH AVE SAN DIEGO, CA 92103 (619) 234-7493 | Non-Participating Provider | NO | |
| 1386043586 | LUCZYNSKI DENTAL CORPORATION UPTOWN SMILES DENTISTRY (Organization) | 3531 STERNE ST SAN DIEGO, CA 92106 (619) 794-4965 | Non-Participating Provider | NO | |
| 1386076073 | GOLNAZ PAHLEVANLOU (Individual) | 4004 BEYER BLVD SAN DIEGO, CA 92173 (619) 662-4100 | Non-Participating Provider | YES | |
| 1386191641 | DANIELLE MCCOURT (Individual) | 1775 LOCUST ST SAN DIEGO, CA 92106 (623) 293-1529 |
| Non-Participating Provider | NO |
| 1386362200 | NIKITA PATEL (Individual) | 15731 BERNARDO HEIGHTS PKWY SAN DIEGO, CA 92128 (858) 674-6813 |
| Non-Participating Provider | YES |
| 1386530541 | AUSTIN JAMES KRAUZA (Individual) | 2310 CRAVEN ST BLDG 3230 SAN DIEGO, CA 92136 (619) 556-9151 | Non-Participating Provider | NO | |
| 1386617108 | RUSSELL SADAO OKIHARA (Individual) | 3565 4TH AVE SAN DIEGO, CA 92103 (619) 298-6257 | Non-Participating Provider | NO | |
| 1386623171 | MILTON JOSEPH GRISHAM (Individual) | 2841 RENDOVA ROAD SAN DIEGO, CA 92155 (619) 437-2117 | Non-Participating Provider | YES | |
| 1386711901 | RODERICK FAJARDO PANGILINAN (Individual) | 4123 UNIVERSITY AVE SAN DIEGO, CA 92105 (619) 521-0033 |
| Non-Participating Provider | NO |
| 1386717262 | RUSSELL JOHN TOPPI (Individual) | 3737 MORAGA AVE B 109 SAN DIEGO, CA 92117 (858) 270-2343 |
| Non-Participating Provider | NO |
| 1386736445 | JON E PETERSON D.D.S. , APC (Organization) | 4076 3RD AVE STE 201 SAN DIEGO, CA 92103 (619) 298-2322 | Non-Participating Provider | NO | |
| 1386747913 | GALLO MICHELS PROFESSIONAL DENTAL CORP TIERRA TOWN DENTAL (Organization) | 10645 TIERRASANTA BLVD SUITE B SAN DIEGO, CA 92124 (858) 277-6080 | Non-Participating Provider | NO | |
| 1386754174 | RICHARD T MASEK DDS INC DENTAL EXPRESSIONS (Organization) | 8505 NAVAJO RD SAN DIEGO, CA 92119 (619) 828-1657 | Non-Participating Provider | NO | |
| 1386805141 | MEL HERBERT OLAFSEN (Individual) | 3444 KEARNY VILLA RD SUITE 406 SAN DIEGO, CA 92123 (858) 278-4500 |
| Non-Participating Provider | NO |
| 1386865301 | MARK GRIFFITHS (Individual) | 3588 4TH AVE SUITE 300A SAN DIEGO, CA 92103 (619) 298-6257 | Non-Participating Provider | NO | |
| 1386865418 | CLAUDETTE SY CHAIKIN (Individual) | 4698 CONVOY ST STE 203 SAN DIEGO, CA 92111 (858) 565-2811 | Non-Participating Provider | NO | |
| 1386865749 | GLENN J. HOM (Individual) | 4410 30TH ST SUITE B SAN DIEGO, CA 92116 (619) 283-2270 |
| Non-Participating Provider | NO |
| 1386866473 | EPHRAIM J. TABORNAL, DDS, INC. (Organization) | 10850 BAROQUE LANE SUITE C SAN DIEGO, CA 92124 (858) 560-8250 |
| Non-Participating Provider | NO |
| 1386883742 | HECTOR ABID SUAREZ (Individual) | 6544 EL CAJON BLVD SAN DIEGO, CA 92115 (619) 582-7722 |
| Non-Participating Provider | NO |
| 1386912921 | BENJAMIN JONG-BIN LIN (Individual) | 9870 HIBERT ST STE D12 SAN DIEGO, CA 92131 (858) 566-3688 |
| Non-Participating Provider | NO |
| 1396044616 | PHILIP G. MENNA, D.D.S., INC (Organization) | 4002 PARK BLVD STE D SAN DIEGO, CA 92103 (619) 220-7000 | Non-Participating Provider | NO | |
| 1396106514 | DANIEL YOON (Individual) | 11468 VIA PROMESA SAN DIEGO, CA 92124 (858) 442-4581 |
| Non-Participating Provider | NO |
| 1396123899 | JANETTE MURPHY (Individual) | 2044 CHATSWORTH BLVD SAN DIEGO, CA 92107 (619) 223-6767 | Non-Participating Provider | NO | |
| 1396139127 | BURGETT DENTAL CORPORATION (Organization) | 4541 COLLEGE AVE SAN DIEGO, CA 92115 (619) 582-6000 | Non-Participating Provider | NO | |
| 1396172052 | DOUGLAS LOUIS DECKER (Individual) | 2533 EL CAJON BLVD SAN DIEGO, CA 92104 (619) 543-1588 | Non-Participating Provider | NO | |
| 1396225579 | DANIEL K LEE (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (818) 309-8163 | Non-Participating Provider | NO | |
| 1396282398 | DAVIES PATHOLOGY & INDUSTRY, INC. (Organization) | 9520 CHESAPEAKE DR SUITE 607 SAN DIEGO, CA 92123 (858) 492-9500 | Non-Participating Provider | NO | |
| 1396312997 | AZADEH KHAJAVI DMD INC (Organization) | 16516 BERNARDO CENTER DR STE 210 SAN DIEGO, CA 92128 (858) 779-9292 | Non-Participating Provider | NO | |
| 1396358214 | KELSEY MCCURDY MURPHY (Individual) | 3268 GREYLING DR SAN DIEGO, CA 92123 (858) 617-0620 |
| Non-Participating Provider | NO |
| 1396363362 | EMILY WEN-HUI WU (Individual) | 4142 ADAMS AVE STE 104 SAN DIEGO, CA 92116 (619) 326-0157 |
| Non-Participating Provider | NO |
| 1396396164 | KHANH NGUYEN (Individual) | 8605 ANDROMEDA RD SAN DIEGO, CA 92126 (858) 610-2595 | Non-Participating Provider | NO | |
| 1396397642 | MARIA SOCORRO ANGLE (Individual) | 2310 CRAVEN ST BLDG 3230 SAN DIEGO, CA 92136 (619) 556-8240 | Non-Participating Provider | NO | |
| 1396409116 | AUSTIN CHRIS LEEHON KIM (Individual) | NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR SAN DIEGO, CA 92134 (909) 438-1006 | Non-Participating Provider | NO | |
| 1396577656 | PHAM DDS DENTAL CORP (Organization) | 8555 STATION VILLAGE LN STE A SAN DIEGO, CA 92108 (619) 574-0205 | Non-Participating Provider | NO | |
| 1396714168 | KRISTINE ANNETTE KNUTSON (Individual) | BRANCH DENTAL CLINIC, MCAS, MIRAMAR BLDG 2495 MITSCHEN WAY SAN DIEGO, CA 92145 (858) 577-1825 | Non-Participating Provider | NO | |
| 1396716676 | RICHARD P MERRIFIELD (Individual) | 34800 BOB WILSON DR NMCSD, ATTN: MEDICAL STAFF SERVICES SAN DIEGO, CA 92134 (619) 532-6460 | Non-Participating Provider | NO | |
| 1396769303 | WILL ALAN ANDREWS (Individual) | 2025 CHATSWORTH BLVD SAN DIEGO, CA 92107 (619) 224-8286 |
| Non-Participating Provider | NO |
| 1396812087 | DIXON AND THURSTON (Organization) | 11616 IBERIA PLACE SAN DIEGO, CA 92128 (858) 676-5000 | Non-Participating Provider | NO | |
| 1396844155 | THOMAS J. GASS (Individual) | 3330 3RD AVE SUITE 302 SAN DIEGO, CA 92103 (619) 299-5925 | Non-Participating Provider | NO | |
| 1396846630 | WILLIAM ROY BREMNER (Individual) | 3660 CLAIREMONT DR STE. 11 SAN DIEGO, CA 92117 (858) 270-6651 |
| Non-Participating Provider | NO |
| 1396883450 | DONALD N MCDONALD (Individual) | 3730 3RD AVE SAN DIEGO, CA 92103 (619) 297-2949 | Non-Participating Provider | NO | |
| 1396886214 | WALTON ANDREW RATHBUN (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8240 | Non-Participating Provider | NO | |
| 1396886974 | PO-MAY TSOI (Individual) | 9330 CARMEL MOUNTAIN RD SUITE A-1 SAN DIEGO, CA 92129 (858) 484-8155 | Non-Participating Provider | NO | |
| 1396927299 | KHANH VU THUY NGUYEN (Individual) | 3737 MORAGA AVE STE A104 SAN DIEGO, CA 92117 (858) 273-3181 |
| Non-Participating Provider | YES |
| 1396943155 | RICHARD ANTHONY GIGLIO (Individual) | 9855 ERMA ROAD SUITE 103 SAN DIEGO, CA 92131 (858) 578-0120 | Non-Participating Provider | YES | |
| 1396948527 | JAMES ROBERT MEBUST (Individual) | 4367 30TH ST SAN DIEGO, CA 92104 (619) 283-3383 | Non-Participating Provider | NO | |
| 1396962023 | DEAN VAN NGUYEN (Individual) | 4082 30TH ST SAN DIEGO, CA 92104 (619) 283-6381 |
| Non-Participating Provider | NO |
| 1407002231 | KAIYAN CHENEWETH (Individual) | 12396 WORLD TRADE DR STE 209 SAN DIEGO, CA 92128 (858) 451-2104 |
| Non-Participating Provider | NO |
| 1407076532 | RONALD GREENSPAN (Individual) | 3810 VALLEY CENTRE DR 902A SAN DIEGO, CA 92130 (858) 755-8882 | Non-Participating Provider | NO | |
| 1407076805 | HANGAMA SADAT (Individual) | 5375 KEARNY VILLA RD. SUITE # 103 SAN DIEGO, CA 92123 (858) 277-5737 |
| Non-Participating Provider | NO |
| 1407150360 | WEIWEI LU (Individual) | 11029 CAMINITO ALVAREZ SAN DIEGO, CA 92126 (858) 752-7689 | Non-Participating Provider | NO | |
| 1407185184 | ROSS H DIXON (Individual) | 5627 OBERLIN DR SUITE #100 SAN DIEGO, CA 92121 (858) 452-4298 | Non-Participating Provider | NO | |
| 1407185234 | GERMAN A TRUJILLO DDS DENTAL CORPORATION PEARLMAX ORAL SURGERY (Organization) | 4520 EXECUTIVE DR STE 220 SAN DIEGO, CA 92121 (858) 434-7554 |
| Non-Participating Provider | NO |
| 1407227069 | JENNIFER NEGLERIO (Individual) | 13295 BLACK MOUNTAIN RD STE 3 SAN DIEGO, CA 92129 (858) 538-5280 |
| Non-Participating Provider | NO |
| 1407239288 | ELYSE MILLER (Individual) | 9135 BUCKWHEAT ST SAN DIEGO, CA 92129 (847) 946-8738 |
| Non-Participating Provider | YES |
| 1407250475 | IAN MURRAY, D.M.D., INC. MISSION TRAILS DENTISTRY (Organization) | 6902 NAVAJO RD SAN DIEGO, CA 92119 (619) 582-9700 | Non-Participating Provider | NO | |
| 1407278062 | BIERMAN AND MA DENTAL PARTNERSHIP A GENERAL PARTNERSHIP (Organization) | 6635 FLANDERS DR STE E SAN DIEGO, CA 92121 (858) 457-4100 | Non-Participating Provider | NO | |
| 1407298284 | MICHAEL SAADE (Individual) | 9310 CARMEL MOUNTAIN RD STE A SAN DIEGO, CA 92129 (714) 488-4368 |
| Non-Participating Provider | NO |
| 1407366727 | BABAK JAVIDI (Individual) | 12125 ALTA CARMEL CT STE 310 SAN DIEGO, CA 92128 (619) 800-4948 |
| Non-Participating Provider | NO |
| 1407455181 | JULIA NGUYEN (Individual) | 9225 MIRA MESA BLVD STE 218 SAN DIEGO, CA 92126 (858) 610-1878 |
| Non-Participating Provider | YES |
| 1407471030 | LILLIAN WANG (Individual) | 9540 WAPLES ST STE A SAN DIEGO, CA 92121 (858) 490-4281 |
| Non-Participating Provider | NO |
| 1407808629 | RUTH SHU (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-8600 |
| Non-Participating Provider | NO |
| 1407861198 | EVELYNE H VU-TIEN (Individual) | 4765 CARMEL MOUNTAIN RD SUITE 210 SAN DIEGO, CA 92130 (858) 755-9511 |
| Non-Participating Provider | YES |
| 1407868664 | ZIAD TEDINI (Individual) | 11230 SORRENTO VALLEY RD STE 130 SAN DIEGO, CA 92121 (858) 485-9126 | Non-Participating Provider | NO | |
| 1407875131 | PETER D SHAW (Individual) | 315 WALNUT AVE SAN DIEGO, CA 92103 (619) 297-2954 | Opted out of Medicare | YES | |
| 1407903487 | AUREA BALLAT CRISOSTOMO-REYES (Individual) | 9844 HIBERT ST SUITE G-7 SAN DIEGO, CA 92131 (858) 271-7440 | Non-Participating Provider | NO | |
| 1407940158 | JAMES WILLIAM LOYE (Individual) | 3830 VALLEY CENTRE DR STE 702 SAN DIEGO, CA 92130 (858) 792-9661 |
| Non-Participating Provider | NO |
| 1407953797 | HENRY TRAN (Individual) | 4616 EL CAJON BLVD STE 8 SAN DIEGO, CA 92115 (619) 280-0076 | Non-Participating Provider | NO | |
| 1407956055 | CHARLES R. PETRIE (Individual) | 6280 JACKSON DR SUITE 6 SAN DIEGO, CA 92119 (619) 466-0194 | Non-Participating Provider | NO | |
| 1407963614 | LOUIS EMANUEL PAULERIO (Individual) | 1635 ROSECRANS ST STE A SAN DIEGO, CA 92106 (619) 223-3811 | Non-Participating Provider | NO | |
| 1407976608 | KATHRINA AGATEP (Individual) | 9540 WAPLES ST STE A SAN DIEGO, CA 92121 (858) 490-4281 |
| Non-Participating Provider | NO |
| 1407997976 | JOSEPH S SPARROW (Individual) | 3292 SANDROCK RD SAN DIEGO, CA 92123 (858) 277-7474 |
| Non-Participating Provider | NO |
| 1417034471 | ANDREW JAMES DEMEYER (Individual) | 4707 MISSION BLVD SAN DIEGO, CA 92109 (858) 483-6851 | Opted out of Medicare | YES | |
| 1417045873 | MARK J RIEDLER DDS PC (Organization) | 4167 OHIO ST SAN DIEGO, CA 92104 (617) 281-6635 | Non-Participating Provider | NO | |
| 1417062472 | MARK R MEDINA & THOMAS KERRIAN RANCHO PENASQUITOS DENTAL CENTER (Organization) | 9955 CARMEL MOUNTAIN RD STE 4 SAN DIEGO, CA 92129 (858) 484-3100 | Non-Participating Provider | NO | |
| 1417063942 | SEAN EVAN STEPHENS (Individual) | 3588 4TH AVE SUITE 300 SAN DIEGO, CA 92103 (619) 497-0122 |
| Non-Participating Provider | YES |
| 1417094996 | DI TRONG VO (Individual) | 4170 FAIRMOUNT AVE SAN DIEGO, CA 92105 (619) 280-3322 | Non-Participating Provider | NO | |
| 1417108101 | DR MICHAEL L. REYNOLDS DDS INC (Organization) | 7742 HERSCHEL AVE STE. I SAN DIEGO, CA 92037 (858) 454-9991 | Non-Participating Provider | NO | |
| 1417152430 | QUAN T. MA (Individual) | 6635 FLANDERS DR SUITE E SAN DIEGO, CA 92121 (858) 457-4100 |
| Non-Participating Provider | YES |
| 1417169616 | VAIDA AVERY (Individual) | 2036 HORNBLEND ST SAN DIEGO, CA 92109 (858) 270-6711 | Non-Participating Provider | NO | |
| 1417255886 | VICTOR MORRIS ISRAEL (Individual) | 3737 MORAGA AVE STE B206 SAN DIEGO, CA 92117 (858) 273-0700 |
| Opted out of Medicare | YES |
| 1417267733 | ELLEN E FOLLMAR (Individual) | 1670 KETTNER BLVD.#314 SAN DIEGO, CA 92101 (206) 660-9488 |
| Non-Participating Provider | NO |
| 1417274424 | NORA N TLEEL (Individual) | 2445 TRUXTUN RD SUITE 106 SAN DIEGO, CA 92106 (619) 567-8977 |
| Non-Participating Provider | NO |
| 1417317868 | VINITA VERMA (Individual) | 1425 FRAZEE RD SAN DIEGO, CA 92108 (619) 293-7233 | Non-Participating Provider | NO | |
| 1417359969 | LE AND PHAM DENTAL CORPORATION KENSINGTON DENTAL GROUP (Organization) | 4142 ADAMS AVE SUITE 104 SAN DIEGO, CA 92116 (619) 326-0157 | Non-Participating Provider | NO | |
| 1417440850 | SPENCER LEE NICE (Individual) | 1230 COLUMBIA ST STE 870 SAN DIEGO, CA 92101 (619) 858-8080 |
| Non-Participating Provider | NO |
| 1417446477 | KELLIE RAMSEY (Individual) | 4060 FAIRMOUNT AVE SAN DIEGO, CA 92105 (619) 255-9155 |
| Non-Participating Provider | NO |
| 1417476177 | HEMANT SACHDEVA (Individual) | 1975 GARNET AVE STE E SAN DIEGO, CA 92109 (858) 866-0808 |
| Non-Participating Provider | NO |
| 1417485749 | LILY ANNA MARUCCI (Individual) | 4664 CLAIREMONT MESA BLVD SAN DIEGO, CA 92117 (619) 701-6625 |
| Non-Participating Provider | NO |
| 1417680398 | CAROLYN SILVERMAN (Individual) | NAVAL BASE SAN DIEGO 2310 CRAVEN ST BLDG 3230 SAN DIEGO, CA 92136 (619) 556-9151 | Non-Participating Provider | NO | |
| 1417920869 | BRUCE NAPIER BLANDY (Individual) | 34800 BOB WILSON DR NMCSD, ATTN: MEDICAL STAFF SERVICES SAN DIEGO, CA 92134 (619) 532-6460 | Non-Participating Provider | NO | |
| 1427070515 | MINA HABIBIAN (Individual) | 11385 POWAY RD SUITE 103 SAN DIEGO, CA 92128 (858) 486-8611 |
| Non-Participating Provider | YES |
| 1427101583 | MATTHEW G PARILLA (Individual) | 5675 BALBOA AVE SAN DIEGO, CA 92111 (858) 268-0110 |
| Non-Participating Provider | YES |
| 1427103993 | EHSAN NASERY (Individual) | 7625 MESA COLLEGE DR SUITE.100 SAN DIEGO, CA 92111 (858) 514-4290 |
| Non-Participating Provider | NO |
| 1427129238 | JIN YANG (Individual) | 4310 GENESEE AVE #108-B SAN DIEGO, CA 92117 (858) 292-6998 | Non-Participating Provider | NO | |
| 1427153154 | JEFFREY W BROWN (Individual) | 1761 PALM AVE SAN DIEGO, CA 92154 (619) 429-5151 |
| Non-Participating Provider | NO |
| 1427153642 | ADAM BRENT WELLS (Individual) | 2634 ESCALA CIR SAN DIEGO, CA 92108 (502) 548-7118 |
| Opted out of Medicare | YES |
| 1427161546 | PAUL C. DAVIS (Individual) | 4320 GENESEE AVE SUITE 102 SAN DIEGO, CA 92117 (858) 292-6051 | Non-Participating Provider | YES | |
| 1427165398 | ROBERT DRURY (Individual) | 5995 MISSION GORGE RD STE A SAN DIEGO, CA 92120 (760) 716-7466 |
| Non-Participating Provider | YES |
| 1427183441 | HULSEY DENTAL CORPORATION (Organization) | 245 25TH ST SAN DIEGO, CA 92102 (619) 236-9831 | Non-Participating Provider | NO | |
| 1427191238 | HOWARD FIRST (Individual) | 306 WALNUT AVE SUITE 31 SAN DIEGO, CA 92103 (619) 220-0866 |
| Non-Participating Provider | NO |
| 1427192145 | MEI-WEN KUO (Individual) | 4194 CONVOY ST SAN DIEGO, CA 92111 (858) 569-1918 | Non-Participating Provider | NO | |
| 1427196328 | BAO QUOC NGUYEN (Individual) | 6947 LINDA VISTA RD SUITE B SAN DIEGO, CA 92111 (858) 292-8881 | Non-Participating Provider | NO | |
| 1427383918 | CAROLYN MARIE WHITE (Individual) | 8910 UNIVERSITY CENTER LANE SUITE 670 SAN DIEGO, CA 92122 (858) 558-8590 | Non-Participating Provider | NO | |
| 1427446483 | TINA JIAXIN SAW (Individual) | 16918 DOVE CANYON ROAD SAN DIEGO, CA 92127 (360) 349-0790 |
| Non-Participating Provider | NO |
| 1427450121 | LORI ANN SAFAR (Individual) | 4765 CARMEL MOUNTAIN RD STE 206 206 SAN DIEGO, CA 92130 (858) 481-8688 |
| Non-Participating Provider | YES |
| 1427489525 | RICHARD KANG LEE (Individual) | 9840 CARMEL MOUNTAIN RD SAN DIEGO, CA 92129 (858) 240-9953 |
| Non-Participating Provider | YES |
| 1427586890 | MICHAEL BENLI HO (Individual) | 13350 PACIFIC PL UNIT 2217 SAN DIEGO, CA 92130 (847) 641-0366 |
| Non-Participating Provider | NO |
| 1427740794 | BRADLEY A. ELI DENTAL CORPORATION (Organization) | 5830 OBERLIN DR STE 202 SAN DIEGO, CA 92121 (844) 235-9881 | Non-Participating Provider | NO | |
| 1427744747 | ALAN JAY (Individual) | 718 W WASHINGTON ST SAN DIEGO, CA 92103 (619) 277-5777 |
| Non-Participating Provider | YES |
| 1427892538 | JAYCEE CURETON (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6400 | Non-Participating Provider | NO | |
| 1437203213 | SUSAN CHANG (Individual) | 7380 CLAIREMONT MESA BLVD SUITE 100 SAN DIEGO, CA 92111 (858) 715-8080 |
| Non-Participating Provider | NO |
| 1437224466 | MARCO ANTONIO ALEGRIA (Individual) | 1809 NATIONAL AVE SAN DIEGO, CA 92113 (619) 515-2300 |
| Non-Participating Provider | NO |
| 1437225091 | STUART TANI (Individual) | 5638 MISSION CENTER RD #104 SAN DIEGO, CA 92108 (619) 293-7164 |
| Non-Participating Provider | NO |
| 1437234507 | SHAWN S RANEJAT (Individual) | 11828 RANCHO BERNARDO RD SUITE 203 SAN DIEGO, CA 92128 (858) 485-8806 | Non-Participating Provider | NO | |
| 1437276946 | ARISTEDES CRUZ PARAS (Individual) | 1061 SATURN BLVD STE 103 SAN DIEGO, CA 92154 (619) 863-0836 | Non-Participating Provider | NO | |
| 1437299666 | MICHAEL H TAI (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8240 | Non-Participating Provider | NO | |
| 1437325099 | KENNETH MICHAEL HUNTER (Individual) | 1802 CABLE ST SAN DIEGO, CA 92107 (619) 223-3423 | Non-Participating Provider | NO | |
| 1437377819 | KATHERINE LEE LACKNER (Individual) | 9855 ERMA RD SUITE 109 SAN DIEGO, CA 92131 (858) 536-1500 |
| Non-Participating Provider | NO |
| 1437483013 | DAVID PAUL DEROSIER (Individual) | 3019 EMERSON ST SAN DIEGO, CA 92106 (619) 222-7400 | Non-Participating Provider | YES | |
| 1437495074 | MANDY MARIA OLSON (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-8600 |
| Non-Participating Provider | NO |
| 1437541737 | GLENN CASEY ASHMORE DENTAL CORP. DENTAL EXPRESS (Organization) | 4110 W POINT LOMA BLVD SAN DIEGO, CA 92110 (619) 701-6622 | Non-Participating Provider | NO | |
| 1437581899 | ERIC MICHAEL HOWARD (Individual) | 43000 MIDWAY AVE SAN DIEGO, CA 92140 (619) 524-4009 | Non-Participating Provider | NO | |
| 1437761475 | POUYA PARSA (Individual) | 12275 CARMEL VISTA RD UNIT 224 SAN DIEGO, CA 92130 (858) 280-6264 |
| Non-Participating Provider | NO |
| 1437769361 | GABRIEL CASIAS (Individual) | 7224 MITSCHER WAY SAN DIEGO, CA 92145 (588) 307-1824 | Non-Participating Provider | NO | |
| 1437835485 | JENNIFER LYNN IRVING (Individual) | 34800 BOB WILSON DR NAVAL MEDICAL CENTER SAN DIEGO SAN DIEGO, CA 92134 (419) 889-2151 | Non-Participating Provider | NO | |
| 1447047527 | JOEL WONG DMD INC (Organization) | 4809 CLAIREMONT DR STE 65B SAN DIEGO, CA 92117 (858) 463-5550 | Non-Participating Provider | NO | |
| 1447267802 | SUSIE CHOI KWOK (Individual) | 3315 4TH AVE SAN DIEGO, CA 92103 (619) 295-7885 |
| Non-Participating Provider | NO |
| 1447280060 | TERRY GERARD O'TOOLE (Individual) | 3350 LA JOLLA VILLAGE DR DENTAL 160A SAN DIEGO, CA 92161 (858) 552-7525 | Non-Participating Provider | NO | |
| 1447318837 | JOHN CLETUS DEAL (Individual) | 2654 4TH AVENUE SAN DIEGO, CA 92103 (619) 234-7493 | Non-Participating Provider | NO | |
| 1447361670 | ROXANA RAMEZANI (Individual) | 11721 RIDGE RUN WAY SAN DIEGO, CA 92131 (415) 310-0405 |
| Non-Participating Provider | NO |
| 1447376462 | STEPHANIE NGUYEN (Individual) | 14391 PENASQUITOS DR SUITE A SAN DIEGO, CA 92129 (858) 672-0400 |
| Non-Participating Provider | YES |
| 1447455381 | CHILDREN'S DENTAL HEALTH ASSOCIATION OF SAN DIEGO SCHOOL BASE PROGRAM (Organization) | 4100 NORMAL ST SAN DIEGO, CA 92103 (619) 234-8131 | Non-Participating Provider | NO | |
| 1447565163 | BARBARA A PERLITCH (Individual) | 11199 SORRENTO VALLEY RD SUITE 208 SAN DIEGO, CA 92121 (858) 457-7991 | Non-Participating Provider | NO | |
| 1447599766 | RICHARD DALE KATNIK (Individual) | 7319 CLAIREMONT MESA BLVD SAN DIEGO, CA 92111 (858) 569-9651 |
| Non-Participating Provider | YES |
| 1447653746 | MAC, MAKSIM AND YANG DENTAL PARTNERSHIP A GENERAL PARTNERSHIP PENASQUITOS DENTAL (Organization) | 8534 HOPSEED LN SAN DIEGO, CA 92129 (240) 383-7623 | Non-Participating Provider | NO | |
| 1447656368 | NORA N TLEEL, DDS, APC POINT LOMA CHILDREN'S DENTISTRY (Organization) | 2445 TRUXTUN RD SUITE 105,106 SAN DIEGO, CA 92106 (619) 567-8977 |
| Non-Participating Provider | NO |
| 1447688460 | GREGORY WRIGHT (Individual) | 3900 FIFTH AVE STE 270 SAN DIEGO, CA 92103 (619) 810-1864 |
| Non-Participating Provider | NO |
| 1447699616 | UNITES STATES NAVY (Organization) | NAVAL MEDICAL CTR 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6471 | Non-Participating Provider | NO | |
| 1447706049 | STEPHEN MORENO (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6400 |
| Non-Participating Provider | YES |
| 1447824040 | S GOH DDS INC (Organization) | 3200 ADAMS AVE STE 202 SAN DIEGO, CA 92116 (347) 463-2389 |
| Non-Participating Provider | NO |
| 1447942693 | DANNY J. HOLTZCLAW, DDS, A PROFESSIONAL CORPORATION (Organization) | 8008 FROST ST STE 300 SAN DIEGO, CA 92123 (858) 292-5050 | Non-Participating Provider | NO | |
| 1457056665 | CHILMERAN DENTAL CORPORATION (Organization) | 575 CAMINO DE LA REINA STE 100 SAN DIEGO, CA 92108 (619) 573-4889 | Non-Participating Provider | NO | |
| 1457084584 | RANA GHAZALA (Individual) | 718 W WASHINGTON ST SAN DIEGO, CA 92103 (619) 699-9008 |
| Non-Participating Provider | NO |
| 1457323412 | JAMES CAREY MARTIN (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8255 | Non-Participating Provider | NO | |
| 1457403974 | VICTOR X CRAWFORD DDS INC (Organization) | 5106 FEDERAL BLVD SUITE 209 SAN DIEGO, CA 92105 (619) 264-0179 | Non-Participating Provider | NO | |
| 1457411258 | WILSON AND NOVOTNY DENTAL CORPORATION (Organization) | 9310 CARMEL MOUNTAIN RD SUITE D SAN DIEGO, CA 92129 (858) 484-4880 | Non-Participating Provider | NO | |
| 1457424699 | GENE P MOORE (Individual) | 286 EUCLID AVE STE 201 SAN DIEGO, CA 92114 (619) 263-6683 |
| Non-Participating Provider | NO |
| 1457427288 | HENRY H KIM (Individual) | 4242 CAMINO DEL RIO N STE 24 SAN DIEGO, CA 92108 (619) 640-3400 |
| Non-Participating Provider | NO |
| 1457456741 | RICHARD D KATNIK DDS INC (Organization) | 7319 CLAIREMOUNT MESA BLVD SAN DIEGO, CA 92111 (858) 569-9651 | Non-Participating Provider | NO | |
| 1457459554 | BRUCE MATTHEW THOMPSON (Individual) | 5454 EL CAJON BLVD SAN DIEGO, CA 92115 (619) 515-2400 |
| Non-Participating Provider | YES |
| 1457477705 | KEVIN M KENNY (Individual) | 2619 CLAIREMONT DR SAN DIEGO, CA 92117 (619) 276-0963 | Non-Participating Provider | NO | |
| 1457486086 | KWANG SEO PARK (Individual) | 3023 BUNKER HILL ST STE 101 SAN DIEGO, CA 92109 (858) 270-1400 |
| Non-Participating Provider | NO |
| 1457501058 | CURTIS & MEZA-THOMPSON DENTAL PARTNERSHIP PARK DENTAL ARTS (Organization) | 2312 6TH AVE SAN DIEGO, CA 92101 (619) 544-1745 |
| Non-Participating Provider | NO |
| 1457535700 | GREGORY DAVIS DDS INC. KEARNY DENTAL (Organization) | 4626 MERCURY ST SAN DIEGO, CA 92111 (858) 292-8180 | Non-Participating Provider | NO | |
| 1457565178 | AMIR MOJAVER DMD PC MODERN DENTISTRY (Organization) | 4765 CARMEL MOUNTAIN RD. STE. 208 SAN DIEGO, CA 92130 (858) 259-4765 |
| Non-Participating Provider | NO |
| 1457571390 | JAYE VENUTI, DDS PROF. DENTAL CORP (Organization) | 12395 EL CAMINO REAL SUITE 312 SAN DIEGO, CA 92130 (858) 259-0331 | Non-Participating Provider | NO | |
| 1457623373 | MARCOS ORTEGA DDS INC (Organization) | 306 WALNUT AVE SUITE 25 SAN DIEGO, CA 92103 (619) 295-4545 | Non-Participating Provider | NO | |
| 1457642191 | LYNN CHERYL AKIONA (Individual) | 3639 MIDWAY DR STE. B-136 SAN DIEGO, CA 92110 (619) 244-0880 | Non-Participating Provider | NO | |
| 1457674699 | DAVID JAMES BAINER (Individual) | 591 CAMINO DE LA REINA SUITE 412 SAN DIEGO, CA 92108 (619) 220-7475 |
| Non-Participating Provider | NO |
| 1457707366 | TIM LE (Individual) | 9330 MIRA MESA BLVD STE B SAN DIEGO, CA 92126 (858) 693-9070 |
| Non-Participating Provider | NO |
| 1457748212 | PETER MARK VRONTIKIS (Individual) | 7777 WESTSIDE DR APT 469 SAN DIEGO, CA 92108 (801) 232-7580 |
| Non-Participating Provider | NO |
| 1457748303 | BABAK ARIANNEJAD AND LANCE RYGG DENTAL CORPORATION MISSION HILLS DENTAL GROUP (Organization) | 718 W WASHINGTON ST SAN DIEGO, CA 92103 (619) 699-9008 | Non-Participating Provider | NO | |
| 1457749723 | NGUYEN AND YANG DENTAL PARTNERSHIP (Organization) | 9855 ERMA RD STE 110 SAN DIEGO, CA 92131 (858) 578-2205 | Non-Participating Provider | NO | |
| 1457774192 | ANTHONY POTENTE (Individual) | 4033 3RD AVE STE 303 SAN DIEGO, CA 92103 (619) 298-2291 |
| Non-Participating Provider | YES |
| 1457803322 | CLARISSA DAMASCO (Individual) | 1469 STATE ST SAN DIEGO, CA 92101 (619) 947-5035 |
| Non-Participating Provider | YES |
| 1457821928 | LIBBY, MARONGIU AND SPENCER DENTAL (Organization) | 233 A ST STE 701 SAN DIEGO, CA 92101 (619) 232-3774 | Non-Participating Provider | NO | |
| 1457848681 | DR. ROYA NIAKIANI APC SLEEP INTERGRATIVE WELLNESS CENTER (Organization) | 1111 6TH AVE STE. 415 SAN DIEGO, CA 92101 (619) 255-7575 | Non-Participating Provider | NO | |
| 1457893885 | JOSE-JULIO HERNANDEZ-BLOUIN (Individual) | 1000 W WASHINGTON ST STE 1 SAN DIEGO, CA 92103 (619) 297-0700 |
| Non-Participating Provider | YES |
| 1457985574 | BRETT PARKS (Individual) | 7011 LINDA VISTA RD SAN DIEGO, CA 92111 (775) 450-8824 |
| Non-Participating Provider | YES |
| 1467075267 | DIVYA YOGESH PATEL (Individual) | 4664 CLAIREMONT MESA BLVD SAN DIEGO, CA 92117 (619) 404-2144 | Non-Participating Provider | YES | |
| 1467423582 | JAMES K LE (Individual) | 34800 BOB WILSON DR NMCSD, ATTN: MEDICAL STAFF SERVICES SAN DIEGO, CA 92134 (619) 532-6460 | Non-Participating Provider | NO | |
| 1467427781 | NGUYEN NHU LE (Individual) | 11437 MIRO CIR SAN DIEGO, CA 92131 (858) 692-5951 |
| Non-Participating Provider | NO |
| 1467455410 | GEORGE JOHN STRATIGOPOULOS (Individual) | 4808 CLAIREMONT MESA BLVD SAN DIEGO, CA 92117 (858) 277-7200 | Non-Participating Provider | YES | |
| 1467463521 | BLAKE E. MARSTON (Individual) | 9330 CARMEL MOUNTAIN RD SUITE D SAN DIEGO, CA 92129 (858) 484-6100 |
| Opted out of Medicare | YES |
| 1467505651 | MOLLY SAN SI HSAM LIU (Individual) | 5527 CLAIREMONT MESA BLVD SAN DIEGO, CA 92117 (858) 467-0503 | Non-Participating Provider | YES | |
| 1467512251 | FRITZI A PEREZ (Individual) | 9750 MIRAMAR RD SUITE #160 SAN DIEGO, CA 92126 (858) 586-9195 |
| Non-Participating Provider | NO |
| 1467520411 | DAVID XUDONG WANG (Individual) | 4123 UNIVERSITY AVE SAN DIEGO, CA 92105 (619) 521-0012 |
| Non-Participating Provider | NO |
| 1467555862 | DONALD TRUNG TRAN (Individual) | 4132 UNIVERSITY AVE SAN DIEGO, CA 92105 (619) 280-3373 |
| Non-Participating Provider | NO |
| 1467557033 | VINCENT HUY NGUYEN (Individual) | 8270 MIRA MESA BLVD SUITE D SAN DIEGO, CA 92126 (858) 578-4677 | Non-Participating Provider | NO | |
| 1467573675 | JACK RAYMOND WHITE (Individual) | 2187 GARNET AVE SAN DIEGO, CA 92109 (858) 272-8330 | Non-Participating Provider | NO | |
| 1467582056 | SUSAN SEUNG-HEE HONG (Individual) | 11848 BERNARDO PLAZA COURT SUITE 220 SAN DIEGO, CA 92128 (858) 247-3020 |
| Non-Participating Provider | NO |
| 1467626739 | KATHERINE MARIE NOYES (Individual) | 12750 CARMEL COUNTRY RD STE 114 SAN DIEGO, CA 92130 (858) 792-2511 | Non-Participating Provider | NO | |
| 1467664490 | SCOTT STEVEN BECKER (Individual) | 3046 AVENIDA DE PORTUGAL SAN DIEGO, CA 92106 (619) 221-5000 |
| Non-Participating Provider | NO |
| 1467690636 | ERINA LEE (Individual) | 2020 CAMINO DE LA REINA #117 SAN DIEGO, CA 92108 (909) 556-9850 | Non-Participating Provider | NO | |
| 1467736520 | NIKOU RAHBAR (Individual) | 1333 CAMINO DEL RIO S SUITE 202 SAN DIEGO, CA 92108 (949) 903-3525 |
| Non-Participating Provider | YES |
| 1467747725 | ALBERT G. LEUNG, DDS, INC (Organization) | 6565 BALBOA AVE STE. B SAN DIEGO, CA 92111 (858) 279-2122 |
| Non-Participating Provider | NO |
| 1467770164 | JONATHAN H. DO (Individual) | 11665 AVENA PL STE 106 SAN DIEGO, CA 92128 (858) 375-6585 | Non-Participating Provider | NO | |
| 1467867663 | DANIEL HALL (Individual) | 13350 CAMINO DEL SUR STE 3B SAN DIEGO, CA 92129 (858) 215-2485 |
| Non-Participating Provider | NO |
| 1467887943 | DUNG LY NGUYEN (Individual) | 4310 EUCLID AVE #A SAN DIEGO, CA 92115 (619) 281-6777 |
| Non-Participating Provider | NO |
| 1467990432 | NAJMEH HANNANVASH DDS, INC LITTLE STAR PEDIATRIC DENTISTRY (Organization) | 5550 CARMEL MOUNTAIN RD 200 SAN DIEGO, CA 92130 (619) 630-4000 | Non-Participating Provider | NO | |
| 1477039592 | NAEEM ETEMADI (Individual) | 11770 BERNARDO PLAZA CT STE 350 SAN DIEGO, CA 92128 (858) 633-1110 |
| Non-Participating Provider | YES |
| 1477068930 | KELLY J HWANG DDS INC (Organization) | 11385 POWAY RD STE 103 SAN DIEGO, CA 92128 (858) 486-8611 | Non-Participating Provider | NO | |
| 1477101905 | BYRON NICOLAS AMADOR (Individual) | 2310 CRAVEN ST BLDG 3230 SAN DIEGO, CA 92136 (619) 556-8240 | Non-Participating Provider | NO | |
| 1477180305 | JENNIFER HOFMANN (Individual) | 3350 LA JOLLA VILLAGE DR SAN DIEGO, CA 92161 (858) 552-8585 |
| Non-Participating Provider | NO |
| 1477218063 | HI-TECH DENTAL OFFICE, VINCENT H. LE D.D.S. INC. (Organization) | 5507 EL CAJON BLVD STE A SAN DIEGO, CA 92115 (619) 582-5364 | Non-Participating Provider | NO | |
| 1477383214 | RAND ALI NIHAD (Individual) | 6663 EL CAJON BLVD SAN DIEGO, CA 92115 (619) 467-7797 | Non-Participating Provider | NO | |
| 1477610780 | ROBERT EUGENE HUTTO (Individual) | 4170 NORMAN SCOTT RD SAN DIEGO, CA 92136 (619) 767-6577 | Non-Participating Provider | NO | |
| 1477614717 | SUSAN LEARY (Individual) | 3020 CHILDREN'S WAY MC#5127 SAN DIEGO, CA 92123 (858) 966-4094 | Non-Participating Provider | NO | |
| 1477620169 | GORDON HAMILTON DIXON (Individual) | 11616 IBERIA PLACE SAN DIEGO, CA 92128 (858) 676-5000 | Non-Participating Provider | NO | |
| 1477641157 | THOMAS G ACIERNO (Individual) | 3867 CLAIREMONT DR SAN DIEGO, CA 92117 (619) 276-5526 |
| Non-Participating Provider | YES |
| 1477649374 | ANN MARIE ZIMMERMAN (Individual) | 4103 3RD AVE # A SAN DIEGO, CA 92103 (619) 299-3200 |
| Non-Participating Provider | YES |
| 1477653244 | JULIANNA NOVOTNY (Individual) | 9310 CARMEL MOUNTAIN RD SUITE D SAN DIEGO, CA 92129 (858) 484-4880 | Non-Participating Provider | NO | |
| 1477685980 | AMY LYNN FOX (Individual) | 8312 LAKE MURRAY BLVD SUITE E SAN DIEGO, CA 92119 (619) 461-5422 | Non-Participating Provider | NO | |
| 1477690030 | NAMITA DUTTA (Individual) | 16466 BERNARDO CENTER DR STE. 185 SAN DIEGO, CA 92128 (858) 676-1845 |
| Non-Participating Provider | YES |
| 1477702629 | ALEXANDER KAREEM DESTA (Individual) | 43000 MIDWAY AVE BLDG 595 SAN DIEGO, CA 92140 (619) 524-4009 |
| Non-Participating Provider | NO |
| 1477787943 | THANH HAI CHU (Individual) | 4403 MARLBOROUGH AVE SAN DIEGO, CA 92116 (619) 282-7011 |
| Non-Participating Provider | NO |
| 1477821882 | JAY AKEF, DDS DENTAL CORPORATION DE ANZA DENTISTRY (Organization) | 3737 MORAGA AVE B-212 SAN DIEGO, CA 92117 (858) 490-9086 | Non-Participating Provider | NO | |
| 1477830016 | R M TASH DDS APC (Organization) | 11968 BERNARDO PLAZA DR SAN DIEGO, CA 92128 (858) 521-0000 | Non-Participating Provider | NO | |
| 1477888477 | KAI-CHIAO JOE CHANG (Individual) | NAVAL MEDICAL CTR 34800 BOB WILSON DRIVE SAN DIEGO, CA 92134 (619) 556-8240 |
| Non-Participating Provider | NO |
| 1477951721 | ALEX S KIM (Individual) | 8899 UNIVERSITY CENTER LN STE 180 SAN DIEGO, CA 92122 (858) 452-3636 | Non-Participating Provider | NO | |
| 1477952430 | ERIC OSMOLINSKI DMD INC (Organization) | 9450 SCRANTON RD SUITE 109 SAN DIEGO, CA 92121 (858) 457-5801 | Non-Participating Provider | NO | |
| 1477968253 | PEGGY RAM (Individual) | 11326 VELA DR SAN DIEGO, CA 92126 (818) 263-5042 |
| Non-Participating Provider | NO |
| 1487055349 | JIMMY KUO HUYNH (Individual) | 10645 GRACEWOOD PL SAN DIEGO, CA 92130 (858) 405-1776 |
| Non-Participating Provider | YES |
| 1487082046 | SCRIPPS ORAL PATHOLOGY SERVICE, LLC SCRIPPS ORAL PATHOLOGY SERVICE (Organization) | 6727 FLANDERS DRIVE STE 101 SAN DIEGO, CA 92121 (858) 784-0600 | Non-Participating Provider | NO | |
| 1487083895 | CHRISTOPHER PETERSON (Individual) | 4076 3RD AVE SUITE 201 SAN DIEGO, CA 92103 (619) 298-2322 | Non-Participating Provider | NO | |
| 1487251294 | ZEKI ABDULAALI (Individual) | 1501 INDIA ST UNIT 607 SAN DIEGO, CA 92101 (586) 215-2620 |
| Non-Participating Provider | NO |
| 1487310405 | KRISTINA CARAVELLI (Individual) | 2115 BACON ST SAN DIEGO, CA 92107 (619) 224-2986 |
| Non-Participating Provider | NO |
| 1487352191 | JOANNA GARCIA (Individual) | 3020 CHILDRENS WAY SAN DIEGO, CA 92123 (858) 576-1700 | Non-Participating Provider | NO | |
| 1487488318 | CHLOE YSABEL ESTEBAN FEDERE (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6400 | Non-Participating Provider | NO | |
| 1487641171 | AMY LYNN BRYER (Individual) | 140 SYLVESTER RD DENTAL DEPT SAN DIEGO, CA 92106 (619) 556-9173 | Non-Participating Provider | NO | |
| 1487647350 | BROOK WOOLSEY JONES (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6400 | Non-Participating Provider | NO | |
| 1487675179 | HILLCREST ENDODONTICS (Organization) | 306 WALNUT AVE SUITE 33 SAN DIEGO, CA 92103 (619) 295-3456 | Non-Participating Provider | NO | |
| 1487675518 | DAVID D WYNN (Individual) | 6495 ALVARADO RD SUITE 102 SAN DIEGO, CA 92120 (619) 287-8870 | Non-Participating Provider | NO | |
| 1487700993 | JONATHAN MILES STAHL (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-9942 | Non-Participating Provider | NO | |
| 1487721056 | JUSTIN YAN SING SENG (Individual) | 4698 CONVOY SU 203 SAN DIEGO, CA 92111 (858) 565-2811 | Non-Participating Provider | NO | |
| 1487729554 | TIMOTHY SHELBURNE SMITH (Individual) | 2878 CAMINO DEL RIO S SUITE 210 SAN DIEGO, CA 92108 (619) 298-2200 |
| Opted out of Medicare | YES |
| 1487765970 | WILLIAM V CARLO (Individual) | 9040 FRIARS RD SUITE 535 SAN DIEGO, CA 92108 (619) 285-0950 |
| Opted out of Medicare | YES |
| 1487769121 | CORENE J. POELMAN, D.D.S., M.S., APC RANCHO BERNARDO ENDODONTICS (Organization) | 16466 BERNARDO CENTER DR SUITE 176 SAN DIEGO, CA 92128 (858) 676-6709 | Non-Participating Provider | NO | |
| 1487788139 | KENNETH ALAN YAROS (Individual) | 2180 GARNET AVE SUITE 1-K SAN DIEGO, CA 92109 (858) 270-4904 | Opted out of Medicare | YES | |
| 1487791869 | RICHARD LEE HAMILTON (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 557-8256 | Non-Participating Provider | NO | |
| 1487796348 | ANTHONY J. SCOMA (Individual) | 10549 SCRIPPS POWAY PKWY STE E SAN DIEGO, CA 92131 (858) 271-4200 |
| Non-Participating Provider | NO |
| 1487855730 | SASHA BHOR (Individual) | 11611 RANCHO BERNARDO RD STE 103 SAN DIEGO, CA 92127 (858) 592-9500 |
| Non-Participating Provider | NO |
| 1487877098 | JAMES E. HOPPER (Individual) | 315 WALNUT AVE SAN DIEGO, CA 92103 (619) 297-2954 | Non-Participating Provider | NO | |
| 1487885695 | SAMUEL ANDREW ESCARSEGA (Individual) | 34800 BOB WILSON DR NMCSD SAN DIEGO, CA 92134 (619) 532-8250 |
| Non-Participating Provider | NO |
| 1497084248 | AMY ELIZABETH JAGGER (Individual) | 4653 CARMEL MOUNTAIN RD SUITE 306 SAN DIEGO, CA 92130 (858) 350-0045 | Non-Participating Provider | NO | |
| 1497115547 | WOLF AND BEAR DENTAL CARE LLC (Organization) | 3023 BUNKER HILL ST STE 105 SAN DIEGO, CA 92109 (425) 306-2579 | Non-Participating Provider | NO | |
| 1497163711 | MARK BELLISARIO (Individual) | 823 GATEWAY CENTER WAY SAN DIEGO, CA 92102 (619) 515-2300 |
| Non-Participating Provider | YES |
| 1497242549 | JACOB T. TAYLOR (Individual) | 306 WALNUT AVE STE 26 SAN DIEGO, CA 92103 (619) 299-3320 |
| Non-Participating Provider | YES |
| 1497317648 | CHARELLE BRADEN (Individual) | 1499 SUNSET CLIFFS BLVD SAN DIEGO, CA 92107 (619) 224-2210 |
| Non-Participating Provider | NO |
| 1497366819 | DURSCHLAG DENTAL CORP (Organization) | 239 LAUREL ST STE 201 SAN DIEGO, CA 92101 (619) 291-5266 | Non-Participating Provider | NO | |
| 1497473482 | CORBIN SMITH DMD DENTAL CORP. (Organization) | 11770 BERNARDO PLAZA CT STE 100 SAN DIEGO, CA 92128 (858) 414-5966 | Non-Participating Provider | NO | |
| 1497503676 | JONATHAN GAO (Individual) | 11368 FAIRWIND CT SAN DIEGO, CA 92130 (858) 602-2422 |
| Non-Participating Provider | NO |
| 1497741672 | ERIC DRIVER (Individual) | 4060 4TH AVE SUITE #303 SAN DIEGO, CA 92103 (619) 543-0905 |
| Non-Participating Provider | NO |
| 1497808158 | JAMES HENRY PIPER (Individual) | 3530 SILVERGATE PL SAN DIEGO, CA 92106 (619) 226-0330 | Non-Participating Provider | NO | |
| 1497836225 | HOWARD R DIXON (Individual) | 5627 OBERLIN DR SUITE 100 SAN DIEGO, CA 92121 (858) 452-7272 |
| Non-Participating Provider | NO |
| 1497863492 | ROBERT A. MEYERSON (Individual) | 10737 CAMINO RUIZ STE 120 SAN DIEGO, CA 92126 (858) 566-0842 | Non-Participating Provider | NO | |
| 1497897698 | AN THUY NGUYEN (Individual) | 7450 CLAIREMONT MESA BLVD SUITE 201 SAN DIEGO, CA 92111 (858) 268-3036 |
| Non-Participating Provider | NO |
| 1497905475 | BYUNG SUN YOO (Individual) | 2425 3RD AVE SAN DIEGO, CA 92101 (619) 231-1624 | Non-Participating Provider | NO | |
| 1497968218 | RANA K. ISAQI DENTAL CORPORATION (Organization) | 3659 INDIA ST STE 100 SAN DIEGO, CA 92103 (619) 297-7722 |
| Non-Participating Provider | NO |
| 1497977078 | MARY LYNN MERZ (Individual) | 12264 EL CAMINO REAL SUITE #109 SAN DIEGO, CA 92130 (858) 755-9990 |
| Non-Participating Provider | NO |
| 1497979074 | MARIA RHI (Individual) | 3327 PALM AVE SAN DIEGO, CA 92154 (619) 423-4581 |
| Non-Participating Provider | NO |
| 1508005372 | JOHN PHILIP BRADFORD (Individual) | 3821 8TH AVENUE SAN DIEGO, CA 92103 (619) 295-3128 |
| Non-Participating Provider | NO |
| 1508005729 | JAIME ACUNA LOERA, DDS, INC DENTAL ARTS OF PALM AVENUE (Organization) | 3388 PALM AVE STE 101 SAN DIEGO, CA 92154 (619) 424-3456 | Non-Participating Provider | NO | |
| 1508076498 | DONALD BASIL DREVNA (Individual) | 4166 MONROE AVE UNIT #1 SAN DIEGO, CA 92116 (760) 550-0059 |
| Non-Participating Provider | NO |
| 1508095746 | THOMAS FRANK BIERMAN (Individual) | 6635 FLANDERS DR STE E SAN DIEGO, CA 92121 (858) 457-4100 |
| Non-Participating Provider | NO |
| 1508102963 | PAIGE WOODS (Individual) | 10450 FRIARS RD SAN DIEGO, CA 92120 (619) 359-6569 |
| Non-Participating Provider | YES |
| 1508112533 | SHADI KASTENHOLZ (Individual) | 9484 BLACK MOUNTAIN RD STE E SAN DIEGO, CA 92126 (858) 271-9393 |
| Non-Participating Provider | NO |
| 1508286410 | LINH PHAN (Individual) | 11735 WILLS CREEK RD SAN DIEGO, CA 92131 (347) 989-3345 |
| Non-Participating Provider | NO |
| 1508289406 | KHALED ELNAGGAR (Individual) | 4167 OHIO ST SAN DIEGO, CA 92104 (619) 281-6635 | Non-Participating Provider | NO | |
| 1508344599 | ROBAIR ALDAYA (Individual) | 3737 MORAGA AVE STE B307 SAN DIEGO, CA 92117 (952) 688-8002 |
| Non-Participating Provider | NO |
| 1508352089 | BENJAMIN HWANG (Individual) | NAVAL MEDICAL CTR 34800 BOB WILSON DRIVE SAN DIEGO, CA 92134 (619) 556-8240 | Non-Participating Provider | NO | |
| 1508877911 | ADRIAN FLORES NAGUIT (Individual) | 9888-D CARMEL MOUNTAIN RD SAN DIEGO, CA 92129 (858) 484-0770 |
| Non-Participating Provider | NO |
| 1508881301 | JANETTE MURPHY JANETTE LARSEN DMD (Organization) | 2044 CHATSWORTH BLVD SAN DIEGO, CA 92107 (619) 223-6767 | Non-Participating Provider | NO | |
| 1508957861 | ROBERT GORDON CANTONWINE (Individual) | 4776 CASS ST SAN DIEGO, CA 92109 (858) 270-1922 |
| Non-Participating Provider | NO |
| 1508966342 | CHAD KYLE BROWN (Individual) | 6616 MISSION GORGE RD SAN DIEGO, CA 92120 (619) 280-7866 |
| Non-Participating Provider | NO |
| 1508971201 | JONATHAN C NGUYEN (Individual) | 4575 EL CAJON BLVD STE A SAN DIEGO, CA 92115 (619) 281-5569 | Non-Participating Provider | NO | |
| 1508988007 | JING-YI JEANNIE SHIAU (Individual) | 11665 AVENA PL STE 201 SAN DIEGO, CA 92128 (858) 776-0219 | Non-Participating Provider | NO | |
| 1518021013 | WESTERN DENTAL SERVICES, INC. (Organization) | 2510 UNIVERSITY AVE SAN DIEGO, CA 92104 (619) 294-4500 | Non-Participating Provider | NO | |
| 1518021500 | DUNG T.P. NGUYEN DENTAL CORPORATION (Organization) | 3426 UNIVERSITY AVE SAN DIEGO, CA 92104 (619) 281-2186 |
| Non-Participating Provider | NO |
| 1518029651 | HUY THANH HO (Individual) | 4276 54TH PL SUITE #D SAN DIEGO, CA 92115 (619) 265-0566 | Non-Participating Provider | NO | |
| 1518062363 | RAYMOND L WRIGHT (Individual) | 3737 MURPHY CANYON RD STE C-2 SAN DIEGO, CA 92123 (773) 531-1562 |
| Non-Participating Provider | YES |
| 1518099514 | NGHIA MINH PHAM (Individual) | 9831 MIRA MESA BLVD SAN DIEGO, CA 92131 (858) 547-9393 |
| Non-Participating Provider | NO |
| 1518208768 | KORYUREK PROFESSIONAL DENTAL CORPORATION AFFINITY DENTAL OF HILLCREST (Organization) | 3330 3RD AVE STE 400 SAN DIEGO, CA 92103 (619) 291-8750 | Non-Participating Provider | NO | |
| 1518308105 | WILSON SHUAIWEN JING (Individual) | 43000 MIDWAY DR MARINE CORP RECRUITING STATION BLDG 595 SAN DIEGO, CA 92140 (619) 524-4009 |
| Non-Participating Provider | NO |
| 1518360684 | LOURDES B RAPISURA (Individual) | 9912 CARMEL MOUNTAIN RD SAN DIEGO, CA 92129 (858) 538-9182 |
| Non-Participating Provider | NO |
| 1518376771 | JOSEPH CAVE (Individual) | 4065 3RD AVE STE 300 SAN DIEGO, CA 92103 (619) 298-2291 |
| Non-Participating Provider | NO |
| 1518396621 | SHIVALI GOHEL GARG (Individual) | 4320 GENESEE AVE STE 203 SAN DIEGO, CA 92117 (858) 541-7676 |
| Non-Participating Provider | YES |
| 1518444652 | ALEXANDER STANTON (Individual) | 7805 HIGHLAND VILLAGE PL STE G105 SAN DIEGO, CA 92129 (858) 256-6932 | Non-Participating Provider | NO | |
| 1518447507 | EDGAR JOSE RIVERA ESTRADA (Individual) | 969 MARKET ST UNIT 1606 SAN DIEGO, CA 92101 (619) 770-9652 |
| Non-Participating Provider | NO |
| 1518564822 | LILIT BALAYAN (Individual) | 8997 MIRA MESA BLVD SAN DIEGO, CA 92126 (619) 704-2536 |
| Non-Participating Provider | YES |
| 1518692912 | JONATHAN WONG (Individual) | 34800 BOB WILSON DR STE 1 SAN DIEGO, CA 92134 (619) 532-8628 | Non-Participating Provider | NO | |
| 1518726702 | GILMORE ORTHODONTICS DENTAL PRACTICE (Organization) | 9870 HIBERT ST STE D9 SAN DIEGO, CA 92131 (858) 433-7377 | Non-Participating Provider | NO | |
| 1518758077 | GIAN FERRER (Individual) | 9373 MIRA MESA BLVD SAN DIEGO, CA 92126 (858) 586-7280 | Non-Participating Provider | NO | |
| 1528072410 | JOSE L LOPEZ (Individual) | 3490 PALM AVE SAN DIEGO, CA 92154 (619) 423-1351 |
| Non-Participating Provider | YES |
| 1528125325 | VIRGINIA PADUA MATTSON (Individual) | 11717 BERNARDO PLAZA CT SUITE 100 SAN DIEGO, CA 92128 (858) 673-1633 |
| Non-Participating Provider | YES |
| 1528138039 | LOC BAO, DDS, INC. (Organization) | 4236 EL CAJON BLVD SAN DIEGO, CA 92105 (619) 584-4015 | Non-Participating Provider | NO | |
| 1528143690 | FAY AHMADPOUR (Individual) | 4060 FAIRMOUNT AVE SAN DIEGO, CA 92105 (619) 255-9155 |
| Non-Participating Provider | YES |
| 1528168101 | ROBERT ENG CHIN (Individual) | 6545 BALBOA AVE SUITE A SAN DIEGO, CA 92111 (858) 292-7655 |
| Non-Participating Provider | YES |
| 1528176674 | ROBERT A. MEYERSON, DDS, INC. SAN DIEGO SMILE CENTER (Organization) | 10737 CAMINO RUIZ #120 SAN DIEGO, CA 92126 (858) 566-0842 | Non-Participating Provider | NO | |
| 1528223757 | HILDA MEZA-THOMPSON (Individual) | 2312 6TH AVE SAN DIEGO, CA 92101 (619) 544-1745 |
| Non-Participating Provider | NO |
| 1528271996 | JANE S KHOUW (Individual) | 315 WALNUT AVE SAN DIEGO, CA 92103 (619) 297-2954 | Non-Participating Provider | NO | |
| 1528280286 | FAYE K TADA (Individual) | 3737 MORAGA AVE SUITE B-410 SAN DIEGO, CA 92117 (858) 274-2420 |
| Non-Participating Provider | NO |
| 1528317526 | DOVIGI ENTERPRISES (Organization) | 9292 CHESAPEAKE DR SUITE 100 SAN DIEGO, CA 92123 (858) 492-9500 | Non-Participating Provider | NO | |
| 1528398963 | ERIC HAMILTON DIXON (Individual) | 5627 OBERLIN DR SUITE 100 SAN DIEGO, CA 92121 (858) 452-7272 |
| Non-Participating Provider | NO |
| 1528410123 | DR SAMUEL LEE DENTAL CORP INTERNATIONAL ACADEMY OF DENTAL IMPLANT (Organization) | 6727 FLANDERS DR STE 220 SAN DIEGO, CA 92121 (858) 229-9869 | Non-Participating Provider | NO | |
| 1528427663 | JUAN CARLOS RIOS (Individual) | 3795 30TH ST SAN DIEGO, CA 92104 (619) 220-0548 |
| Non-Participating Provider | NO |
| 1528447398 | JACQUELINE ALICIA CALCAGNO (Individual) | 5627 OBERLIN DR STE 100 SAN DIEGO, CA 92121 (858) 452-7272 |
| Non-Participating Provider | NO |
| 1528487147 | LESLIE STROMMER (Individual) | 7510 HAZARD CENTER DR SUITE 203 SAN DIEGO, CA 92108 (619) 280-9100 | Non-Participating Provider | NO | |
| 1528549177 | SHELLY K GAREISS (Individual) | MCRD SAN DIEGO 3800 CHOSIN AVENUE SAN DIEGO, CA 92140 (708) 466-5161 | Non-Participating Provider | NO | |
| 1528586716 | EMILIA KODIATH (Individual) | 4060 FAIRMOUNT AVE SAN DIEGO, CA 92105 (619) 564-7018 |
| Non-Participating Provider | YES |
| 1528638236 | STEVEN FRONCZAK (Individual) | 1455 G ST SAN DIEGO, CA 92101 (619) 324-4981 |
| Non-Participating Provider | NO |
| 1528789161 | BABAK JAVIDI DMD INC (Organization) | 12125 ALTA CARMEL CT STE 310 SAN DIEGO, CA 92128 (619) 800-4948 |
| Non-Participating Provider | NO |
| 1528844180 | SEAN DANIELS, DDS A PROFESSIONAL COMPANY (Organization) | 9750 MIRAMAR RD STE 375 SAN DIEGO, CA 92126 (858) 635-9569 | Non-Participating Provider | NO | |
| 1538208483 | THERESA TSAI (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 855-6632 | Non-Participating Provider | NO | |
| 1538285226 | MICHAEL GERALD MC MAHON (Individual) | 3405 KENYON ST STE 510 SAN DIEGO, CA 92110 (619) 223-7189 | Non-Participating Provider | NO | |
| 1538338249 | GEE H KIM (Individual) | 4428 CONVOY ST STE 230 SAN DIEGO, CA 92111 (858) 573-2833 | Non-Participating Provider | NO | |
| 1538353511 | SANDRIS BAJARS (Individual) | 2930 CORONADO AVE STE C SAN DIEGO, CA 92154 (619) 423-3602 |
| Non-Participating Provider | NO |
| 1538358643 | NORTH PARK SMILES EDUARDO DIAZ (Organization) | 3795 30TH ST SAN DIEGO, CA 92104 (619) 220-0548 |
| Non-Participating Provider | NO |
| 1538360797 | SHIRA SHASHO (Individual) | 1038 GRAND AVE SAN DIEGO, CA 92109 (858) 356-9966 |
| Non-Participating Provider | NO |
| 1538371729 | YVONNE RAMOS (Individual) | 10299 SCRIPPS TRL STE F SAN DIEGO, CA 92131 (858) 484-2325 |
| Non-Participating Provider | NO |
| 1538384573 | MIKE ADAMS (Individual) | 5222 BALBOA AVE SUITE 71 SAN DIEGO, CA 92117 (858) 279-1900 | Non-Participating Provider | NO | |
| 1538393830 | RUBEN MARTIN ROMERO (Individual) | 306 WALNUT AVE STE 36A SAN DIEGO, CA 92103 (619) 234-8245 |
| Non-Participating Provider | NO |
| 1538405014 | DUNYA G ANTWAN DDS INC, (Organization) | 10450 FRIARS RD STE G SAN DIEGO, CA 92120 (619) 640-5100 | Non-Participating Provider | NO | |
| 1538441118 | JONATHAN ZADOK FUNG (Individual) | 6280 JACKSON DR SUITE 6 SAN DIEGO, CA 92119 (619) 464-4346 |
| Non-Participating Provider | NO |
| 1538493283 | KIMBERLY D SAUER (Individual) | 5627 OBERLIN DR SUITE 100 SAN DIEGO, CA 92121 (858) 452-7272 |
| Non-Participating Provider | NO |
| 1538542980 | OLIVIA CHOW (Individual) | 1809 NATIONAL AVE SAN DIEGO, CA 92113 (619) 515-2300 |
| Non-Participating Provider | YES |
| 1538544630 | ANDREW TUNG NGUYEN (Individual) | 950 S EUCLID AVE SAN DIEGO, CA 92114 (619) 662-4100 | Non-Participating Provider | YES | |
| 1538648183 | CODY LEE KRAMER (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-8600 | Non-Participating Provider | NO | |
| 1538654314 | MICHAEL PAYOR (Individual) | 15731 BERNARDO HEIGHTS PKWY STE 101 SAN DIEGO, CA 92128 (858) 674-6813 |
| Non-Participating Provider | NO |
| 1538789367 | CHRISTOPHER HART (Individual) | 2221 CAMINO DEL RIO S STE 208 SAN DIEGO, CA 92108 (619) 692-4310 | Non-Participating Provider | NO | |
| 1538859285 | ZACHARY MARK TRAMMELL (Individual) | 2310 CRAVEN ST UNIT 3230 SAN DIEGO, CA 92136 (619) 556-8240 | Non-Participating Provider | NO | |
| 1538892617 | MEGAN KELSEY LEUN (Individual) | 1807 ROBINSON AVE SAN DIEGO, CA 92103 (619) 295-1512 | Non-Participating Provider | NO | |
| 1538895396 | KENDRA RAE BLOOM (Individual) | COMNAVSURFPAC LHA 6 USS AMERICA SAN DIEGO, CA 92155 (301) 295-0064 | Non-Participating Provider | NO | |
| 1548159056 | D JANG DMD INC (Organization) | 4809 CLAIREMONT DR STE 65A SAN DIEGO, CA 92117 (858) 463-5550 | Non-Participating Provider | NO | |
| 1548307002 | JOHN A COLVIN (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8231 | Non-Participating Provider | NO | |
| 1548307101 | JOSE LUIS RUIZ (Individual) | 995 GATEWAY CENTER WAY SUITE 301 SAN DIEGO, CA 92102 (619) 263-6648 |
| Non-Participating Provider | NO |
| 1548316649 | XIAOCHEN YIN (Individual) | 286 EUCLID AVE STE 201 SAN DIEGO, CA 92114 (619) 263-6683 | Non-Participating Provider | NO | |
| 1548320849 | PETROS.TOMA&PUTRUS DENTAL CORP (Organization) | 4844 UNIVERSITY AVE SUITE B SAN DIEGO, CA 92105 (619) 285-5010 | Non-Participating Provider | NO | |
| 1548347149 | EMMANUEL CACHO AGUILAR (Individual) | 5382 CLAIREMONT MESA BLVD SAN DIEGO, CA 92117 (858) 277-6620 |
| Non-Participating Provider | NO |
| 1548356686 | PARVATHI KOKA POKALA (Individual) | 8031 LINDA VISTA RD STE 200 SAN DIEGO, CA 92111 (858) 278-8700 |
| Non-Participating Provider | NO |
| 1548392053 | GUY LAMAR FOX (Individual) | 8312 LAKE MURRAY BLVD SUITE E SAN DIEGO, CA 92119 (619) 461-5422 | Non-Participating Provider | NO | |
| 1548418619 | CHELSEA RICHARDSON (Individual) | 2630 1ST AVE SAN DIEGO, CA 92103 (619) 234-2158 |
| Non-Participating Provider | NO |
| 1548506330 | JENNIFER T CARUSO DMD INC. (Organization) | 11279 CAMINO RUIZ SAN DIEGO, CA 92126 (858) 566-5650 | Non-Participating Provider | NO | |
| 1548512254 | VICTOR XAVIER CRAWFORD (Individual) | 5106 FEDERAL BLVD SUITE 209 SAN DIEGO, CA 92105 (619) 264-0179 |
| Non-Participating Provider | NO |
| 1548540123 | SNOW & SHAPLEY DENTAL OFFICE INC (Organization) | 2176 SUNSET CLIFFS BLVD SAN DIEGO, CA 92107 (619) 224-4225 | Non-Participating Provider | NO | |
| 1548544117 | WILLARD PENG (Individual) | 10549 SCRIPPS POWAY PKWY SUITE I SAN DIEGO, CA 92131 (818) 653-1246 |
| Non-Participating Provider | YES |
| 1548570203 | S J SHAHANGIAN DDS MS INC (Organization) | 9840 HIBERT ST STE B4 SAN DIEGO, CA 92131 (858) 693-5677 | Non-Participating Provider | NO | |
| 1548637002 | ARSHIYA SHARAFI, DDS, PC (Organization) | 4125 SORRENTO VALLEY BLVD SUITE D SAN DIEGO, CA 92121 (858) 997-2701 | Non-Participating Provider | NO | |
| 1548745300 | CESAR AUGUSTO MANRIQUE MORENO (Organization) | 1041 MARKET ST STE 165 SAN DIEGO, CA 92101 (619) 488-3200 | Non-Participating Provider | NO | |
| 1548785926 | RANDALL JASON EWING (Individual) | 3340 KEMPER ST STE 201 SAN DIEGO, CA 92110 (619) 224-2828 | Non-Participating Provider | YES | |
| 1548813116 | ARASH EBRAHIM (Individual) | 4110 W POINT LOMA BLVD SAN DIEGO, CA 92110 (619) 701-6629 |
| Non-Participating Provider | NO |
| 1548828221 | HOANG, NGUYEN, & LU DENTAL CORP (Organization) | 9912 CARMEL MOUNTAIN RD STE B SAN DIEGO, CA 92129 (858) 538-9182 | Non-Participating Provider | NO | |
| 1548981467 | NAMANA RAO (Individual) | 1975 GARNET AVE STE E SAN DIEGO, CA 92109 (858) 866-0808 |
| Non-Participating Provider | YES |
| 1558047712 | ALICE PARK (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8240 | Non-Participating Provider | NO | |
| 1558252270 | BRIAN H WU, DDS INC (Organization) | 5075 RUFFIN RD STE C SAN DIEGO, CA 92123 (858) 715-1305 | Non-Participating Provider | NO | |
| 1558374181 | THOMAS ALEXANDER DOLESKI (Individual) | 9340 C CLAIREMONT MESA BLVD STE C SAN DIEGO, CA 92123 (858) 279-0350 |
| Non-Participating Provider | NO |
| 1558375725 | ROBERT M BLEY (Individual) | 4082 30TH ST SAN DIEGO, CA 92104 (619) 283-6381 | Non-Participating Provider | NO | |
| 1558462986 | GHASSEMI D.D.S. MS. P.C. INC. RAMIN ALIREZA GHASSEMI (Organization) | 12750 CARMEL COUNTRY RD SUITE 213 SAN DIEGO, CA 92130 (858) 481-8107 | Non-Participating Provider | NO | |
| 1558492918 | CURTIS L. CHAN D.D.S., INC. (Organization) | 12750 CARMEL COUNTRY RD SUITE 200 SAN DIEGO, CA 92130 (858) 481-9090 | Non-Participating Provider | NO | |
| 1558543587 | CATHERINE ANNE FRANSDAL (Individual) | 480 ALTA RD SAN DIEGO, CA 92179 (619) 661-6500 | Non-Participating Provider | NO | |
| 1558562934 | HOA T TRAN (Individual) | 4226 EL CAJON BLVD SAN DIEGO, CA 92105 (619) 285-9912 | Non-Participating Provider | NO | |
| 1558583401 | JOSEPH BARRY APPELBAUM (Individual) | 9855 ERMA RD 109 SAN DIEGO, CA 92131 (858) 536-1500 | Non-Participating Provider | NO | |
| 1558587857 | JANELLE S BACINO (Individual) | 4747 MISSION BLVD SUITE 2 SAN DIEGO, CA 92109 (858) 273-0111 |
| Non-Participating Provider | NO |
| 1558652966 | NAJMEH HANNANVASH (Individual) | 5550 CARMEL MOUNTAIN RD STE 200 SAN DIEGO, CA 92130 (619) 630-4000 |
| Non-Participating Provider | NO |
| 1558656843 | JESSICA S KIM (Individual) | 1111 SIXTH AVE. #510 SAN DIEGO, CA 92101 (619) 696-0510 |
| Non-Participating Provider | NO |
| 1558673483 | MICHAEL S SINGER (Individual) | 16766 BERNARDO CENTER DR STE 212 SAN DIEGO, CA 92128 (858) 487-2301 | Non-Participating Provider | NO | |
| 1558679795 | JULIA SIU NG (Individual) | 10405 TIERRASANTA BLVD SAN DIEGO, CA 92124 (858) 492-9300 |
| Non-Participating Provider | NO |
| 1558698092 | DEO SOSITO CRUZ (Individual) | 3177 OCEANVIEW BLVD. SAN DIEGO, CA 92113 (619) 662-4100 | Non-Participating Provider | YES | |
| 1558778662 | MINH B PHAM DENTAL CORPORATION PB SMILES DENTISTRY DENTAL GROUP (Organization) | 1975 GARNET AVE STE E SAN DIEGO, CA 92109 (858) 866-0808 | Non-Participating Provider | NO | |
| 1558792804 | ROBERT CAMHI DDS A DENTAL CORPORATION (Organization) | 2780 CARDINAL RD STE B SAN DIEGO, CA 92123 (858) 278-7645 | Non-Participating Provider | NO | |
| 1558987487 | IVANA RACIC (Individual) | 230 W G ST STE H SAN DIEGO, CA 92101 (843) 489-6692 | Non-Participating Provider | NO | |
| 1568014637 | CLAUDINE TSUI, DDS A DENTAL CORPORATION (Organization) | 8018 CLAIREMONT MESA BLVD SAN DIEGO, CA 92111 (858) 636-7887 | Non-Participating Provider | NO | |
| 1568033272 | JESSE LEWIS (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6400 | Non-Participating Provider | NO | |
| 1568037984 | PEJMAN BEHIN (Individual) | 4060 FAIRMOUNT AVE 3RD FLOOR DENTAL DEPARTMENT SAN DIEGO, CA 92105 (619) 564-7018 |
| Non-Participating Provider | YES |
| 1568133437 | DDS SHARILYN THERESE MONIZ STM DENTAL PRACTICE (Organization) | 3424 1ST AVE SAN DIEGO, CA 92103 (619) 722-9500 | Non-Participating Provider | NO | |
| 1568181220 | LAUREN TAYLOR KANANI HO (Individual) | 5675 BALBOA AVE SAN DIEGO, CA 92111 (858) 268-0110 |
| Non-Participating Provider | YES |
| 1568281889 | KATJA H NOONAN (Individual) | 4776 CASS ST SAN DIEGO, CA 92109 (858) 270-1922 | Non-Participating Provider | NO | |
| 1568401677 | D. DOUGLAS CASSAT (Individual) | 10789 TIERRASANTA BLVD SUITE 110 SAN DIEGO, CA 92124 (858) 565-0212 |
| Opted out of Medicare | YES |
| 1568518967 | BARBARA YOUNG DDS INC (Organization) | 3764 CLAIREMONT DRIVE SAN DIEGO, CA 92117 (858) 273-7777 |
| Non-Participating Provider | NO |
| 1568555639 | CRAIG MATTHEW SCHINDLER (Individual) | 3703 FOURTH AVE SAN DIEGO, CA 92103 (619) 546-0488 |
| Non-Participating Provider | NO |
| 1568601045 | PAVNEET SONDHI (Individual) | 9955 CARMEL MOUNTAIN RD SAN DIEGO, CA 92129 (858) 484-3100 |
| Non-Participating Provider | NO |
| 1568634020 | PRATIMA S GOWDAR (Individual) | 4655 CASS STREET #104 SAN DIEGO, CA 92109 (858) 483-3302 | Non-Participating Provider | NO | |
| 1568645687 | TINA M MAYO (Individual) | 10672 WEXFORD ST. STE 220 SAN DIEGO, CA 92131 (858) 635-6700 | Non-Participating Provider | NO | |
| 1568671105 | MARK A. KRETZ (Organization) | 1775 LOCUST ST SAN DIEGO, CA 92106 (619) 222-0531 | Non-Participating Provider | NO | |
| 1568673879 | RITESH SHAH (Individual) | 5296 UNIVERSITY AVE SUITE I SAN DIEGO, CA 92105 (619) 265-2262 |
| Non-Participating Provider | NO |
| 1568749729 | BRIAN H CHAN, DDS, INC. (Organization) | 16766 BERNARDO CENTER DR STE 100A SAN DIEGO, CA 92128 (858) 485-6781 | Non-Participating Provider | NO | |
| 1568756500 | DR. PAUL J. STYRT D.M.D., M.P.H., M.S. (Organization) | 4510 EXECUTIVE DR PLAZA SUITE 3 SAN DIEGO, CA 92121 (858) 458-1088 | Non-Participating Provider | NO | |
| 1568787919 | ANTONIO A LAO (Individual) | 9280 PEBBLESTONE LN SAN DIEGO, CA 92126 (858) 578-7385 |
| Non-Participating Provider | NO |
| 1568795185 | MARKOS N BOTROS (Individual) | 12395 EL CAMINO REAL SUITE 101 SAN DIEGO, CA 92130 (858) 350-0337 | Non-Participating Provider | NO | |
| 1568825750 | SAMUEL G SOLIVEN DDS INC UNIVERSAL DENTAL SMILES (Organization) | 1835 EL CAJON BLVD SUITE E SAN DIEGO, CA 92103 (619) 794-2294 |
| Non-Participating Provider | NO |
| 1568857464 | JACOBSON DENTAL CORP CHILDREN'S CHOICE DENTAL CARE (Organization) | 4074 FAIRMOUNT AVENUE SUITE B SAN DIEGO, CA 92105 (691) 996-9543 | Non-Participating Provider | NO | |
| 1568890135 | WILLARD FISHER, DDS, INC. TOWN CENTER DENTISTRY (Organization) | 11968 BERNARDO PLAZA DRIVE SAN DIEGO, CA 92128 (858) 521-0000 | Non-Participating Provider | NO | |
| 1568891794 | JOSEPH HERMES LAI (Individual) | 4282 GENESEE AVE SAN DIEGO, CA 92117 (858) 598-6789 |
| Non-Participating Provider | YES |
| 1568987659 | XUEJUN YAN DMD APC (Organization) | 12798 RANCHO PENASQUITOS BLVD STE I SAN DIEGO, CA 92129 (858) 598-7878 | Non-Participating Provider | NO | |
| 1578625745 | DAVID C. CHOTINER (Individual) | 1230 COLUMBIA ST STE 870 SAN DIEGO, CA 92101 (619) 858-8080 |
| Non-Participating Provider | NO |
| 1578629283 | TIMOTHY QUOC TIEN (Individual) | 3531 EL CAJON BLVD STE A SAN DIEGO, CA 92104 (619) 584-8975 |
| Non-Participating Provider | YES |
| 1578715025 | ADAM KENT HARKRIDER (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-8600 |
| Non-Participating Provider | YES |
| 1578738548 | ROGER TRAN DDS INC. A PLUS FAMILY DENTISTRY (Organization) | 3780 EL CAJON BLVD UNIT #1 SAN DIEGO, CA 92105 (619) 265-2467 | Non-Participating Provider | NO | |
| 1578748711 | MARTIN PHILLIP ABELAR (Individual) | 4510 EXECUTIVE DR SUITE 201 SAN DIEGO, CA 92121 (858) 457-7994 | Non-Participating Provider | NO | |
| 1578761557 | NIKNAM REFAHI (Individual) | 4320 GENESEE AVE STE 106 SAN DIEGO, CA 92117 (858) 483-3384 |
| Non-Participating Provider | NO |
| 1578769618 | ROBERT ALAN ADLER (Individual) | 920 WASHINGTON ST SAN DIEGO, CA 92103 (619) 296-6136 |
| Non-Participating Provider | NO |
| 1578779104 | SCOTT CUONG CHAU (Individual) | 2425 3RD AVE SAN DIEGO, CA 92101 (619) 855-8156 |
| Non-Participating Provider | NO |
| 1578793790 | NATHAN J HORNSBY DDS INC COSMETIC DENTISTRY CENTER OF SAN DIEGO (Organization) | 702 C ST SAN DIEGO, CA 92101 (619) 544-0544 | Non-Participating Provider | NO | |
| 1578825170 | SHAUNA WOODY (Individual) | 9840 HIBERT ST SUITE B-4 SAN DIEGO, CA 92131 (858) 693-5677 |
| Non-Participating Provider | NO |
| 1578832572 | JANICE DOAN (Individual) | 3780 EL CAJON BLVD UNIT #1 SAN DIEGO, CA 92105 (619) 265-2467 |
| Non-Participating Provider | NO |
| 1578923843 | EUGENE KIM DDS INC (Organization) | 7825 ENGINEER RD STE 111 SAN DIEGO, CA 92111 (858) 279-1004 | Non-Participating Provider | NO | |
| 1578942488 | TRAVIS SCHOLER (Individual) | 5395 RUFFIN RD STE 102 SAN DIEGO, CA 92123 (858) 266-0575 |
| Accepts Medicare | YES |
| 1578975728 | PHAM AND MAUSETH DDS INC 4S PEDIATRIC DENTISTRY (Organization) | 16918 DOVE CANYON RD STE 203 SAN DIEGO, CA 92127 (858) 451-5437 |
| Non-Participating Provider | NO |
| 1578990271 | FARAH ARSHAD (Individual) | 4655 CASS ST STE 100 SAN DIEGO, CA 92109 (858) 362-3540 | Non-Participating Provider | NO | |
| 1588158760 | JOSEPH ALAN ZAKOWSKI (Individual) | 4060 FOURTH AVE STE 540 SAN DIEGO, CA 92103 (619) 417-6260 | Non-Participating Provider | NO | |
| 1588192819 | MITRA HEIDARI MOHAMMAD ABADI (Individual) | 9737 AERO DR SAN DIEGO, CA 92123 (858) 336-8478 |
| Non-Participating Provider | NO |
| 1588228522 | JAMES MICHAEL PIERLE (Individual) | 2050 EL CAJON BLVD SAN DIEGO, CA 92104 (619) 637-9774 |
| Non-Participating Provider | NO |
| 1588233365 | CAROLYN WANG (Individual) | 9831 MIRA MESA BLVD SAN DIEGO, CA 92131 (858) 536-5550 |
| Non-Participating Provider | YES |
| 1588265011 | ARIAN ISABEL A RAMOS AVAKIAN (Individual) | 9888 CARMEL MOUNTAIN RD STE H SAN DIEGO, CA 92129 (858) 484-0770 | Non-Participating Provider | NO | |
| 1588337257 | MARIA VICTORIA BARTOLOME JACOBS (Individual) | 15731 BERNARDO HEIGHTS PKWAY STE 101 SAN DIEGO, CA 92128 (858) 674-6813 |
| Non-Participating Provider | NO |
| 1588345185 | YU-CHENG WU (Individual) | 2841 RENDOVA RD SAN DIEGO, CA 92155 (619) 532-6429 | Non-Participating Provider | NO | |
| 1588349716 | DARIAN L ANDERSON (Individual) | 2995 CLAIREMONT DR STE A SAN DIEGO, CA 92117 (858) 200-0827 |
| Non-Participating Provider | YES |
| 1588495360 | HUNTER DILLON ROSS (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-8600 | Non-Participating Provider | NO | |
| 1588557797 | CHRISTIAN EDWARD MCSWEENY (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-8600 | Non-Participating Provider | NO | |
| 1588657613 | ELSA BETTINA DEMBINSKI (Individual) | 19871 MITSCHER WAY #2495 SAN DIEGO, CA 92145 (858) 577-1825 | Non-Participating Provider | NO | |
| 1588710123 | MELANIE NGUYEN WANG (Individual) | 10432 RESERVE DRIVE SUITE 114 SAN DIEGO, CA 92127 (858) 752-8131 |
| Non-Participating Provider | NO |
| 1588723415 | JAIME ACUNA LOERA (Individual) | 3388 PALM AVE STE 101 SAN DIEGO, CA 92154 (619) 424-3456 |
| Non-Participating Provider | YES |
| 1588798540 | STEPHEN CALDWELL TUTTLE (Individual) | 9982 SCRIPPS RANCH BLVD SAN DIEGO, CA 92131 (858) 566-8510 | Non-Participating Provider | NO | |
| 1588830707 | CLEMENT S QAQISH (Individual) | 10672 WEXFORD ST SUITE 270 SAN DIEGO, CA 92131 (858) 263-1800 |
| Non-Participating Provider | NO |
| 1588835789 | KYUNG JOO LEE (Individual) | 12734 TORREY BLUFF DR APT 21 SAN DIEGO, CA 92130 (858) 750-8329 | Non-Participating Provider | NO | |
| 1588844922 | DR. MCLAUGHLIN & DR. UPATHAM (Organization) | 1831 SUNSET CLIFFS BLVD SAN DIEGO, CA 92107 (619) 225-1611 | Non-Participating Provider | NO | |
| 1588858641 | ANDREW WATSON HIMM (Individual) | 4862 SANTA CRUZ AVE SAN DIEGO, CA 92107 (248) 982-1189 |
| Non-Participating Provider | NO |
| 1588991145 | PHILIP CHARLES RUMSEY (Individual) | 1050 ROSECRANS ST. SUITE J SAN DIEGO, CA 92106 (619) 222-2483 |
| Non-Participating Provider | NO |
| 1588997951 | KWANG S. PARK, DDS, INC. MISSION BAY FAMILY DENTISTRY (Organization) | 3023 BUNKER HILL ST STE 101 SAN DIEGO, CA 92109 (858) 270-1400 | Non-Participating Provider | NO | |
| 1598124034 | RACHELE ANGELA MARIANO (Individual) | 1275 30TH ST SAN DIEGO, CA 92154 (619) 662-4100 |
| Non-Participating Provider | NO |
| 1598167611 | TASTO AND TASTO PARTNERSHIP TORREY HILLS DENTAL (Organization) | 4765 CARMEL MOUNTAIN RD SUITE #101 SAN DIEGO, CA 92130 (858) 449-1776 | Non-Participating Provider | NO | |
| 1598507097 | AE JI KWON (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6400 | Non-Participating Provider | NO | |
| 1598545121 | MANUEL ARTURO GONZALEZ RUIZ (Individual) | 3170 CLAIREMONT DR SAN DIEGO, CA 92117 (619) 907-7918 |
| Non-Participating Provider | NO |
| 1598549107 | NICHOLAS DIETZ (Individual) | 3737 MURPHY CANYON RD SAN DIEGO, CA 92123 (858) 694-0790 |
| Non-Participating Provider | YES |
| 1598585549 | ANTHONY HATCH, DDS, INC. (Organization) | 12112 SCRIPPS SUMMIT DR STE C SAN DIEGO, CA 92131 (858) 530-0300 | Non-Participating Provider | NO | |
| 1598731713 | CAROLINA HERNANDEZ BULURAN (Individual) | 34800 BOB WILSON DR NMCSD, ATTN: MEDICAL STAFF SERVICES SAN DIEGO, CA 92134 (619) 532-6460 | Non-Participating Provider | NO | |
| 1598733727 | LESTER MACHADO (Individual) | 501 WASHINGTON ST SUITE #710 SAN DIEGO, CA 92103 (619) 295-6774 | Opted out of Medicare | YES | |
| 1598756249 | ARTHUR E MILLER (Individual) | 6110 FRIARS RD #104 SAN DIEGO, CA 92108 (619) 299-0171 |
| Non-Participating Provider | NO |
| 1598773541 | MELINDA KAPLOW-MARINO (Individual) | 8901 ACTIVITY RD STE 203 SAN DIEGO, CA 92126 (858) 578-0800 |
| Non-Participating Provider | NO |
| 1598779936 | DAVID R. DUGUID, D.D.S., P.C. COSMETIC DENTISTRY OF SAN DIEGO (Organization) | 230 W G ST SAN DIEGO, CA 92101 (619) 234-7222 | Non-Participating Provider | NO | |
| 1598783078 | GERALD G. MASSIMEI (Individual) | 5750 ERLANGER ST SAN DIEGO, CA 92122 (858) 246-6404 |
| Non-Participating Provider | NO |
| 1598819120 | MITCHELL POISET (Individual) | 7930 FROST ST SUITE 101 SAN DIEGO, CA 92123 (858) 492-9977 |
| Non-Participating Provider | NO |
| 1598868465 | PAMELA ANGEL MACPHERSON (Individual) | 4033 3RD AVENUE SUITE 300 SAN DIEGO, CA 92103 (619) 294-9525 | Opted out of Medicare | YES | |
| 1598913089 | RALPH GAGLIANI (Individual) | 4711 MONROE AVENUE SAN DIEGO, CA 92115 (619) 284-1197 | Non-Participating Provider | NO | |
| 1598923674 | CORENE JANNA POELMAN (Individual) | 16466 BERNARDO CENTER DR SUITE 176 SAN DIEGO, CA 92128 (858) 676-6709 | Non-Participating Provider | NO | |
| 1609015239 | JUDY ELIZABETH BROWN (Individual) | 11316 VISTA SORRENTO PKWY U201 SAN DIEGO, CA 92130 (646) 436-2640 | Non-Participating Provider | NO | |
| 1609060672 | ROBERT L LEVINE (Individual) | 4453 CLAIREMONT MESA BLVD SAN DIEGO, CA 92117 (858) 274-2500 |
| Non-Participating Provider | NO |
| 1609067321 | DR. GUILLERMO RODRIGUEZ DENTAL CORP (Organization) | 3200 ADAMS AVE 202 SAN DIEGO, CA 92116 (619) 282-7094 | Non-Participating Provider | NO | |
| 1609115336 | JUSTIN JON PHILLIP CARL (Individual) | 1225 ISLAND AVE UNIT 204 SAN DIEGO, CA 92101 (209) 406-4508 |
| Non-Participating Provider | NO |
| 1609212521 | TINA S MARTINEZ (Individual) | 9750 MIRAMAR RD SUITE 260 SAN DIEGO, CA 92126 (858) 566-5050 | Non-Participating Provider | NO | |
| 1609247360 | STEVEN DELISLE DENTAL CORPORATION (Organization) | 3023 BUNKER HILL ST 105 SAN DIEGO, CA 92109 (425) 306-2579 | Non-Participating Provider | NO | |
| 1609262815 | ROBERT FREMONT (Individual) | 4527 FANUEL ST SAN DIEGO, CA 92109 (858) 272-2222 | Non-Participating Provider | YES | |
| 1609269174 | THUYQUYEN DOAN (Individual) | 3780 EL CAJON BLVD # 1 SAN DIEGO, CA 92105 (619) 265-2467 |
| Non-Participating Provider | NO |
| 1609401132 | BRYAN MINH DO (Individual) | 3408 COLLEGE AVE SAN DIEGO, CA 92115 (619) 363-3881 |
| Non-Participating Provider | NO |
| 1609429273 | NAVYA JAMPALA (Individual) | 10891 CREEKBRIDGE PL SAN DIEGO, CA 92128 (682) 215-8837 |
| Non-Participating Provider | NO |
| 1609652254 | DANIA PAULINA PEREZ PEREZ (Individual) | 5638 MISSION CENTER RD STE 107 SAN DIEGO, CA 92108 (619) 220-0159 |
| Non-Participating Provider | NO |
| 1609800671 | KIERIAN BRIAN KUKLOK (Individual) | 9912 CARMEL MOUNTAIN RD STE A SAN DIEGO, CA 92129 (858) 484-6418 |
| Non-Participating Provider | NO |
| 1609916568 | STEPHEN R HOYEM (Individual) | 43000 MIDWAY AVE BLDG 595 MCRD SAN DIEGO, CA 92140 (619) 524-4005 | Non-Participating Provider | NO | |
| 1609930049 | WALTER D. ANDRADA (Individual) | 9330 CARMEL MOUNTAIN RD SUITE B SAN DIEGO, CA 92129 (858) 780-0818 |
| Non-Participating Provider | NO |
| 1609952084 | YEN P LE (Individual) | 9225 MIRA MESA BLVD 206 SAN DIEGO, CA 92126 (858) 695-8851 |
| Non-Participating Provider | NO |
| 1609980663 | MIN DENNIS LEE (Individual) | 3737 MORAGA AVE STE A205 SAN DIEGO, CA 92117 (858) 273-2232 |
| Non-Participating Provider | NO |
| 1609989722 | RONALD T MCCLEAVE (Individual) | 6544 EL CAJON BLVD SAN DIEGO, CA 92115 (619) 582-7722 |
| Non-Participating Provider | NO |
| 1619026895 | ERIC OSMOLINSKI (Individual) | 9450 SCRANTON RD STE 109 SAN DIEGO, CA 92121 (858) 457-8514 |
| Non-Participating Provider | YES |
| 1619047586 | CARLO MORENO (Individual) | 1060 UNIVERSITY AVE # A201 SAN DIEGO, CA 92103 (619) 543-0112 | Non-Participating Provider | NO | |
| 1619049319 | JOSE ARENAS PATERNO (Individual) | 11295 CAMINO RUIZ STE 1 SAN DIEGO, CA 92126 (858) 537-9077 |
| Non-Participating Provider | NO |
| 1619053170 | JESSICA YVETTE HACKMAN (Individual) | 9921 CARMEL MOUNTAIN RD #186 SAN DIEGO, CA 92129 (310) 709-2418 |
| Non-Participating Provider | YES |
| 1619103546 | MICHAEL GARY LUM (Individual) | 12264 EL CAMINO REAL SUITE 306 SAN DIEGO, CA 92130 (858) 755-9810 | Non-Participating Provider | NO | |
| 1619118254 | ALVARADO DENTAL GROUP (Organization) | 6475 ALVARADO RD STE 205 SAN DIEGO, CA 92120 (619) 287-0990 |
| Non-Participating Provider | NO |
| 1619136330 | PAUL K UPATHAM (Individual) | 1831 SUNSET CLIFFS BLVD SAN DIEGO, CA 92107 (619) 225-1611 | Non-Participating Provider | NO | |
| 1619149333 | MANSOUREH YAVARI (Individual) | 8028 CAMINO JONATA SAN DIEGO, CA 92122 (858) 922-7196 |
| Non-Participating Provider | NO |
| 1619176336 | RICHARD W LINDSAY (Individual) | 7675 DAGGET ST 160 SAN DIEGO, CA 92111 (858) 292-4566 | Non-Participating Provider | NO | |
| 1619189313 | CHAUR-CHOU CHENG D.M.D., INC. (Organization) | 4194 CONVOY ST SAN DIEGO, CA 92111 (858) 569-1918 | Non-Participating Provider | NO | |
| 1619290905 | FADRA M WHYTE (Individual) | 8110 BIRMINGHAM WAY SAN DIEGO, CA 92123 (619) 662-4100 |
| Non-Participating Provider | YES |
| 1619295201 | KHANH V. NGUYEN, DDS, INC. (Organization) | 3570 4TH AVE SAN DIEGO, CA 92103 (619) 298-8315 | Non-Participating Provider | NO | |
| 1619371234 | GUY C SUTTON A PROFESSIONAL DENTAL CORPORATION (Organization) | 5075 RUFFIN RD C SAN DIEGO, CA 92123 (858) 278-1454 |
| Non-Participating Provider | NO |
| 1619372703 | LINDSAY A. BANCROFT, D.D.S., INC. (Organization) | 12750 CARMEL COUNTRY RD STE 206 SAN DIEGO, CA 92130 (858) 755-3780 | Non-Participating Provider | NO | |
| 1619421195 | JENNIFER MARY PIERCE (Individual) | 13161 BLACK MOUNTAIN RD STE 5 SAN DIEGO, CA 92129 (858) 484-3300 |
| Non-Participating Provider | NO |
| 1619422540 | DANA MARIA BABA (Individual) | NAVAL MEDICAL CTR 34800 BOB WILSON DRIVE SAN DIEGO, CA 92134 (805) 404-0853 |
| Non-Participating Provider | NO |
| 1619511680 | JENNIFER STODDER (Individual) | 3405 KENYON ST STE 510 SAN DIEGO, CA 92110 (619) 223-7189 |
| Non-Participating Provider | NO |
| 1619529229 | CALLI ANN MARANDO (Individual) | 2310 CRAVEN ST # 3230 SAN DIEGO, CA 92136 (619) 556-8240 | Non-Participating Provider | NO | |
| 1619540655 | LINDSAY JANILYN TREPPA (Individual) | 3400 BOB WILSON DRIVE SAN DIEGO, CA 92134 (619) 532-7395 | Non-Participating Provider | NO | |
| 1619671971 | BAILEY LEE CHELEMEDOS (Individual) | 8899 UNIVERSITY CENTER LN STE 245 SAN DIEGO, CA 92122 (858) 955-0089 | Non-Participating Provider | YES | |
| 1619957172 | DAVID SCOTT GILMORE (Individual) | 9870 HIBERT ST SUITE D9 SAN DIEGO, CA 92131 (858) 433-7377 |
| Non-Participating Provider | NO |
| 1619965050 | NAIRA SIMONYAN (Individual) | 1111 6TH AVE STE 102 SAN DIEGO, CA 92101 (619) 817-8445 |
| Non-Participating Provider | NO |
| 1629053798 | JAMES H MACDOWELL (Individual) | 11710 EL CAMINO REAL STE 150 SAN DIEGO, CA 92130 (858) 621-3568 |
| Non-Participating Provider | NO |
| 1629107230 | NICHOLAS ROBERT WESTWOOD (Individual) | 3823 8TH AVE SAN DIEGO, CA 92103 (910) 333-2604 |
| Non-Participating Provider | NO |
| 1629123633 | HOANG HUY NGUYEN (Individual) | 9225 MIRA MESA BLVD STE. 218 SAN DIEGO, CA 92126 (858) 689-9295 | Non-Participating Provider | YES | |
| 1629168265 | ALLAN JOSEPH DOVIGI (Individual) | 9520 CHESAPEAKE DR SUITE 607 SAN DIEGO, CA 92123 (800) 955-4765 | Opted out of Medicare | YES | |
| 1629169057 | JOANNE COPPS (Individual) | 4001 GOVERNOR DR. SAN DIEGO, CA 92122 (858) 366-4370 |
| Non-Participating Provider | NO |
| 1629205174 | MARC DENTICO-OLIN (Individual) | 501 WASHINGTON ST STE 710 SAN DIEGO, CA 92103 (619) 295-6774 |
| Accepts Medicare | YES |
| 1629246491 | DALE DENIO (Individual) | 12750 CARMEL COUNTRY RD SUITE 201 SAN DIEGO, CA 92130 (858) 792-8201 | Non-Participating Provider | NO | |
| 1629250485 | KEITH RICHARD MILLARD (Individual) | 480 ALTA RD SAN DIEGO, CA 92179 (619) 661-6500 | Non-Participating Provider | NO | |
| 1629321278 | CHRISTOPHER DAVID DINDAL (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 987-0405 | Non-Participating Provider | NO | |
| 1629470216 | SUSAN S. H. CHANG DDS INC (Organization) | 7380 CLAIREMONT MESA BLVD SUITE #100 SAN DIEGO, CA 92111 (858) 715-8080 | Non-Participating Provider | NO | |
| 1629481775 | KYLE WILLIAM RAGSDALE (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8229 | Non-Participating Provider | NO | |
| 1629502844 | SAMSON YANG DMD INC. (Organization) | 5527 CLAIREMONT MESA BLVD SAN DIEGO, CA 92117 (858) 467-0503 |
| Non-Participating Provider | NO |
| 1629566765 | BRIAN H WU (Individual) | 5075 RUFFIN RD STE C SAN DIEGO, CA 92123 (858) 715-1305 |
| Non-Participating Provider | NO |
| 1629587175 | NGUYEN D TRAN DDS INC. (Organization) | 5971 UNIVERSITY AVE STE 309 SAN DIEGO, CA 92115 (619) 229-9935 | Non-Participating Provider | NO | |
| 1629635263 | AMANJYOT KAUR BAINS (Individual) | 2630 1ST AVE SAN DIEGO, CA 92103 (619) 234-2158 |
| Non-Participating Provider | NO |
| 1629648142 | G. ASHMORE DENTAL CORP. DENTAL EXPRESS (Organization) | 1060 UNIVERSITY AVE STE A201 SAN DIEGO, CA 92103 (619) 701-6773 |
| Non-Participating Provider | NO |
| 1629681895 | ELIZABETH IRENE BARNETT (Individual) | 14701 VIA BETTONA STE 215 SAN DIEGO, CA 92127 (858) 759-7658 | Non-Participating Provider | NO | |
| 1629685185 | RHETT AUSTIN BAYNES (Individual) | 3268 GREYLING DR SAN DIEGO, CA 92123 (760) 828-8250 |
| Non-Participating Provider | NO |
| 1639365513 | ANKE BEYER-JORDAN (Individual) | 13859 CARMEL VALLEY RD STE D SAN DIEGO, CA 92130 (858) 484-9090 | Non-Participating Provider | NO | |
| 1639379142 | JOSSEIN SHAHANGIAN (Individual) | 9840 HIBERT ST STE B4 SAN DIEGO, CA 92131 (858) 335-1165 | Non-Participating Provider | NO | |
| 1639392921 | CATHERINE LE, DDS, INC. (Organization) | 2171 ULRIC ST SUITE 100 SAN DIEGO, CA 92111 (858) 268-8188 |
| Non-Participating Provider | NO |
| 1639398712 | TORREY DEL MAR DENTISTRY (Organization) | 13859 CARMEL VALLEY RD STE D SAN DIEGO, CA 92130 (858) 484-9090 |
| Non-Participating Provider | NO |
| 1639491657 | LONG DANG TRAN D.D.S. , INC UNIVERSITY SQUARE DENTAL, PRACTICE OF LONG DANG TRAN DDS, INC (Organization) | 5971 UNIVERSITY AVE STE 309 SAN DIEGO, CA 92115 (619) 229-9935 | Non-Participating Provider | NO | |
| 1639517394 | KHUONG NGUYEN, DDS A PROFESSIONAL DENTAL CORPORATION CLAIREMONT PEDIATRIC DENTAL (Organization) | 2780 CARDINAL RD STE A SAN DIEGO, CA 92123 (858) 650-0838 | Non-Participating Provider | NO | |
| 1639566565 | JOHN C. NOSTI, D.D.S. INC. PACIFIC HIGHLANDS DENTISTRY DENTAL GROUP (Organization) | 5965 VILLAGE WAY SUITE E-206 SAN DIEGO, CA 92130 (858) 900-3541 | Non-Participating Provider | NO | |
| 1639648454 | KEN TRUONG (Individual) | 4236 EL CAJON BLVD SAN DIEGO, CA 92105 (619) 584-4015 | Non-Participating Provider | NO | |
| 1639737414 | KATHERINE CO TAN (Individual) | 3774 CLAIREMONT DR SAN DIEGO, CA 92117 (858) 274-1219 |
| Non-Participating Provider | YES |
| 1639785306 | BRITTANY JORDAN NORIS (Individual) | 4707 MISSION BLVD SAN DIEGO, CA 92109 (858) 483-6851 | Non-Participating Provider | NO | |
| 1639800808 | SAMANTHA YEVGENYEVNA BERGERON (Individual) | 4142 ADAMS AVE STE 104 SAN DIEGO, CA 92116 (619) 326-0157 |
| Non-Participating Provider | YES |
| 1639802895 | ERIC RALPH PURDY (Individual) | NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR SAN DIEGO, CA 92134 (520) 576-4921 | Non-Participating Provider | NO | |
| 1639899271 | KYLE PATRICK ELMORE (Individual) | 3268 GREYLING DR SAN DIEGO, CA 92123 (858) 617-0620 |
| Non-Participating Provider | YES |
| 1639917412 | MICHELLE WU (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6400 | Non-Participating Provider | NO | |
| 1649013343 | EY YUAN DDS DENTAL CORP (Organization) | 585 SATURN BLVD STE C SAN DIEGO, CA 92154 (619) 870-0858 | Non-Participating Provider | NO | |
| 1649070061 | BUBALO DENTAL CORPORATION (Organization) | 306 WALNUT AVE STE 24 SAN DIEGO, CA 92103 (619) 232-1005 | Non-Participating Provider | NO | |
| 1649152281 | GENESEE DENTISTS INC (Organization) | 4504 CLAIREMONT MESA BLVD SAN DIEGO, CA 92117 (858) 433-4358 | Non-Participating Provider | NO | |
| 1649161571 | JOSHUA ALLEN DDS INC (Organization) | 3298 GOVERNOR DR UNIT 22759 SAN DIEGO, CA 92192 (480) 518-0531 | Non-Participating Provider | NO | |
| 1649288762 | ISRAEL ISMAJ (Individual) | 4540 KEARNY VILLA RD STE 116 SAN DIEGO, CA 92123 (858) 571-3534 | Non-Participating Provider | NO | |
| 1649310202 | JOHN ROBERT JEROME (Individual) | 11462 MIRO CIR SAN DIEGO, CA 92131 (858) 577-7856 |
| Non-Participating Provider | NO |
| 1649318742 | VU THANH THAI (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8243 |
| Non-Participating Provider | NO |
| 1649399932 | LEILA KHANSARI (Individual) | 3365 ROSECRANS ST SUITE # C SAN DIEGO, CA 92110 (619) 222-6000 |
| Non-Participating Provider | NO |
| 1649451709 | PHUONG KHANH TRAN (Individual) | 4132 UNIVERSITY AVE SAN DIEGO, CA 92105 (619) 280-3373 |
| Non-Participating Provider | NO |
| 1649465816 | GARY H PULSIPHER (Individual) | 10737 CAMINO RUIZ SUITE 210 SAN DIEGO, CA 92126 (858) 578-1822 |
| Non-Participating Provider | NO |
| 1649483603 | ANA B. SIMERLEIN (Individual) | 1919 GRAND AVENUE, SUITE 1-P SAN DIEGO, CA 92109 (858) 272-5588 | Non-Participating Provider | NO | |
| 1649489253 | WILLIAM A BARTON (Individual) | 3202 GOVERNOR DR SUITE 207 SAN DIEGO, CA 92122 (858) 450-1334 |
| Non-Participating Provider | YES |
| 1649496290 | WESAM MOHAMMADSAID ALTAMIMI (Individual) | 3802 CLAIREMONT MESA BLVD SAN DIEGO, CA 92117 (858) 273-8300 |
| Non-Participating Provider | NO |
| 1649552894 | GLORIA J TENGONCIANG (Individual) | 8787 COMPLEX DR STE 100 SAN DIEGO, CA 92123 (989) 430-0469 |
| Non-Participating Provider | NO |
| 1649657420 | LUCAS MAX BRAND (Individual) | 11199 SORRENTO VALLEY RD STE 204 SAN DIEGO, CA 92121 (858) 626-8155 | Non-Participating Provider | NO | |
| 1649686346 | AVANI PARMAR (Individual) | 4603 CASS ST SAN DIEGO, CA 92109 (858) 483-0202 |
| Non-Participating Provider | NO |
| 1649723180 | TUDOR CHERTES (Individual) | 826 SAPPHIRE ST APT B SAN DIEGO, CA 92109 (858) 344-9707 |
| Non-Participating Provider | NO |
| 1649791898 | MOHAMMED AL TEKREETI (Individual) | 6175 EL CAJON BLVD SAN DIEGO, CA 92115 (619) 583-4030 |
| Non-Participating Provider | NO |
| 1649897869 | QUYEN THI THANH DOAN (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6400 | Non-Participating Provider | NO | |
| 1649898701 | JAMIE MOJICA (Individual) | 3350 LA JOLLA VILLAGE DR SAN DIEGO, CA 92161 (858) 552-7525 |
| Non-Participating Provider | NO |
| 1649937426 | N HANNANVASH DDS INC (Organization) | 5550 CARMEL MOUNTAIN RD STE 202 SAN DIEGO, CA 92130 (619) 630-4000 | Non-Participating Provider | NO | |
| 1649998485 | DANIEL PHILIP MENDOZA (Individual) | 38400 BOB WILSON DR SAN DIEGO, CA 92134 (832) 276-0207 | Non-Participating Provider | NO | |
| 1649998766 | FORREST PARKER MASON (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (386) 237-0215 | Non-Participating Provider | NO | |
| 1659034676 | NOOZHAN KARIMI (Individual) | 5927 BALBOA AVE SAN DIEGO, CA 92111 (213) 810-6564 | Non-Participating Provider | NO | |
| 1659089670 | VIET LE, DDS APC (Organization) | 2020 CAMINO DEL RIO N STE 108 SAN DIEGO, CA 92108 (619) 220-8545 | Non-Participating Provider | NO | |
| 1659095412 | CONWAY DDS INC. (Organization) | 9750 MIRAMAR RD STE 100 SAN DIEGO, CA 92126 (858) 271-7440 | Non-Participating Provider | NO | |
| 1659345833 | GRANT DAVID LEMASTERS (Individual) | 4273 ETHELDA PL SAN DIEGO, CA 92116 (619) 524-4005 | Non-Participating Provider | NO | |
| 1659346013 | JAMES LEE HARRIS (Individual) | 2705 W CANYON AVE APPT. 115 SAN DIEGO, CA 92123 (760) 822-9269 |
| Non-Participating Provider | NO |
| 1659374304 | HOWARD P. DAMBROSE, D.D.S., INC. DEPENDENTS DENTAL CENTER OF HOWARD P. DAMBROSE, DDS, INC (Organization) | 10715 TIERRASANTA BLVD STE C SAN DIEGO, CA 92124 (858) 278-6444 | Non-Participating Provider | NO | |
| 1659414266 | BRIAN CHRISTOPHER TASTO (Individual) | 4765 CARMEL MOUNTAIN RD SUITE #101 SAN DIEGO, CA 92130 (858) 523-1330 |
| Non-Participating Provider | NO |
| 1659422681 | NASER OSTAD (Individual) | 12330 CARMEL MOUNTAIN RD C4 SAN DIEGO, CA 92128 (858) 485-0555 |
| Non-Participating Provider | NO |
| 1659430627 | REZA HEKMAT (Individual) | 16959 BERNARDO CENTER DR SUITE 103 SAN DIEGO, CA 92128 (858) 485-5925 |
| Non-Participating Provider | NO |
| 1659438901 | DUNG MINH PHAM (Individual) | 7424 JACKSON DR STE 6 SAN DIEGO, CA 92119 (619) 463-9253 |
| Non-Participating Provider | NO |
| 1659459907 | STEVEN TODD DANNEY (Individual) | 6386 ALVARADO CT STE 315 SAN DIEGO, CA 92120 (619) 286-4122 | Maybe Accepts Medicare | YES | |
| 1659571495 | ROSSANNE M SOSA (Individual) | 7830 CLAIREMONT MESA BLVD STE 208 SAN DIEGO, CA 92111 (858) 496-9018 |
| Non-Participating Provider | NO |
| 1659584670 | DAVID W RICHARDS, DDS, PHD SAN DIEGO PERIODONTICS (Organization) | 4060 4TH AVE SUITE 303 SAN DIEGO, CA 92103 (619) 543-0905 | Non-Participating Provider | NO | |
| 1659586261 | LILIAN Z DOMINGUEZ (Individual) | 2939 ALTA VIEW DR STE A SAN DIEGO, CA 92139 (619) 267-8772 |
| Non-Participating Provider | NO |
| 1659616050 | LOUIE AL-FARAJE (Individual) | 4710 RUFFNER ST STE. B SAN DIEGO, CA 92111 (858) 496-0574 | Non-Participating Provider | NO | |
| 1659662757 | HARJOT SINGH CHAWLA (Individual) | 8031 LINDA VISTA RD SUITE 200 SAN DIEGO, CA 92111 (858) 278-8700 |
| Non-Participating Provider | YES |
| 1659747061 | NATALIE RENEE SALDIVAR (Individual) | 10405 TIERRASANTA BLVD SAN DIEGO, CA 92124 (858) 492-9300 | Non-Participating Provider | YES | |
| 1659752038 | DAVID YOUNG CHO (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6867 |
| Maybe Accepts Medicare | YES |
| 1659752137 | AJAY D AMIN (Individual) | 3625 MIDWAY DR STE A SAN DIEGO, CA 92110 (619) 224-2204 |
| Non-Participating Provider | NO |
| 1659933026 | SHBEENA SHAH (Individual) | 1975 GARNET AVE STE E SAN DIEGO, CA 92109 (858) 866-0808 |
| Non-Participating Provider | YES |
| 1669005872 | MARYTZA RIOS GONZALEZ (Individual) | 8110 BIRMINGHAM WAY BLDG 282ND SAN DIEGO, CA 92123 (619) 205-1950 |
| Non-Participating Provider | NO |
| 1669036505 | STEPHEN PATRICK O'DONNELL (Individual) | 5550 CARMEL MOUNTAIN RD STE 200 SAN DIEGO, CA 92130 (619) 630-4000 |
| Non-Participating Provider | NO |
| 1669097523 | REBECCA SOKOL (Individual) | 8915 TOWNE CENTRE DR STE 100 SAN DIEGO, CA 92122 (858) 558-7713 |
| Non-Participating Provider | YES |
| 1669100582 | LUCY XUNYANG GUO (Individual) | 12572 CAMINITO DE LA GALLARDA SAN DIEGO, CA 92128 (858) 261-1829 |
| Non-Participating Provider | YES |
| 1669110540 | ALICE MARIE HOUSTON (Individual) | 250 EUCLID AVE APT B SAN DIEGO, CA 92114 (315) 760-6688 | Non-Participating Provider | NO | |
| 1669146528 | CHRISTOPHER AGOSTINHO VIEIRA (Individual) | 2450 CRAVEN ST BLDG 3300 SAN DIEGO, CA 92136 (443) 838-7778 | Non-Participating Provider | NO | |
| 1669172938 | DIANA LUC (Individual) | 4050 BEYER BLVD SAN DIEGO, CA 92173 (619) 662-4100 | Non-Participating Provider | NO | |
| 1669193272 | PARDIS JONATHAN VAKILI (Individual) | 2995 CLAIREMONT DR STE A SAN DIEGO, CA 92117 (858) 200-0827 |
| Non-Participating Provider | YES |
| 1669592853 | RAYMICHAEL SMITH (Individual) | 16466 BERNARDO CENTER DR STE 177 SAN DIEGO, CA 92128 (858) 675-7007 | Non-Participating Provider | NO | |
| 1669632824 | HENNA HUSSAIN (Individual) | 1333 CAMINO DEL RIO S SUITE 202 SAN DIEGO, CA 92108 (619) 260-4990 |
| Non-Participating Provider | NO |
| 1669683058 | ANTHONY EDWIN HATCH (Individual) | 10672 WEXFORD STREET SUITE 220 SAN DIEGO, CA 92131 (858) 530-0300 | Non-Participating Provider | NO | |
| 1669692083 | PHILIP HAMILTON HEINTZ (Individual) | 1635 ROSECRANS ST STE. A SAN DIEGO, CA 92106 (619) 223-3811 | Non-Participating Provider | NO | |
| 1669713665 | SAHIL DINESH AMIN-PATEL (Individual) | 10672 WEXFORD ST STE 285 SAN DIEGO, CA 92131 (858) 248-7905 | Non-Participating Provider | YES | |
| 1669761359 | ANISHA SUDAN (Individual) | 9135 JUDICIAL DR APT # 3112 SAN DIEGO, CA 92122 (858) 373-7712 |
| Non-Participating Provider | YES |
| 1669880324 | MANMADHA CHERISHMA JAMI (Individual) | 12418 CREEKVIEW DR SAN DIEGO, CA 92128 (858) 603-5922 |
| Non-Participating Provider | NO |
| 1669889093 | KEVIN LEON MENZIE (Individual) | 7930 FROST ST STE 101 SAN DIEGO, CA 92123 (858) 492-9977 |
| Non-Participating Provider | NO |
| 1669925822 | ANDREW CASTILLO (Individual) | 718 W WASHINGTON ST SAN DIEGO, CA 92103 (619) 699-9008 |
| Non-Participating Provider | YES |
| 1679121610 | CODY JAMES COHEN (Individual) | 3340 KEMPER ST STE 201 SAN DIEGO, CA 92110 (619) 224-2828 |
| Non-Participating Provider | NO |
| 1679183602 | HAYAT FAHLIOGULLARI-SMITH (Individual) | 1281 9TH AVE UNIT 1309 SAN DIEGO, CA 92101 (646) 642-0034 |
| Non-Participating Provider | NO |
| 1679350656 | SHAFAK YOUSIF (Individual) | 3408 COLLEGE AVE SAN DIEGO, CA 92115 (619) 363-3881 |
| Non-Participating Provider | YES |
| 1679543599 | KURT GERARD HUMMELDORF (Individual) | 2655 CAMINO DEL RIO N STE 140 SAN DIEGO, CA 92108 (619) 282-7088 |
| Non-Participating Provider | NO |
| 1679549430 | BERNIE SAMPANG MANASAN (Individual) | 2463 CALLE AGUADULCE SAN DIEGO, CA 92139 (760) 220-4885 | Non-Participating Provider | NO | |
| 1679656789 | FRED W KAMANSKY (Individual) | 6529 MISSION GORGE ROAD SAN DIEGO, CA 92120 (619) 280-8377 | Non-Participating Provider | NO | |
| 1679693550 | GORDON MARVIN RICK (Individual) | 5190 GOVERNOR DR SUITE 106 SAN DIEGO, CA 92122 (858) 784-0600 | Opted out of Medicare | YES | |
| 1679733240 | ADAM JEFFREY GEACH (Individual) | 11777 BERNARDO PLAZA CT STE 102 SAN DIEGO, CA 92128 (858) 487-7766 | Non-Participating Provider | NO | |
| 1679766554 | WILLIAM REVIE, KENNETH BRITTON (Individual) | 9292 MIRA MESA BLVD SAN DIEGO, CA 92126 (858) 566-4200 |
| Non-Participating Provider | NO |
| 1679785828 | DANNY TRUONG (Individual) | 9878 HIBERT ST STE 105 SAN DIEGO, CA 92131 (619) 889-1045 |
| Non-Participating Provider | YES |
| 1679816490 | CHARLES GREGORY HOUCK (Individual) | 446 ALTA RD SUITE 5400 SAN DIEGO, CA 92158 (619) 710-8353 | Non-Participating Provider | NO | |
| 1679868921 | NICHOLAS R JIZE (Individual) | 12778 RANCHO PENASQUITOS BLVD SUITE A SAN DIEGO, CA 92129 (858) 780-9794 |
| Non-Participating Provider | NO |
| 1679924203 | RYAN YOUNG WALLRICH (Individual) | 2322 CAMINITO ANDADA SAN DIEGO, CA 92107 (619) 405-5785 |
| Non-Participating Provider | NO |
| 1689002289 | RINA PATEL (Individual) | 5638 MISSION CENTER RD SUITE 107 SAN DIEGO, CA 92108 (619) 220-0159 |
| Maybe Accepts Medicare | YES |
| 1689038465 | CATHERINE TAN (Individual) | 4305 UNIVERSITY AVE SAN DIEGO, CA 92105 (619) 501-1235 | Non-Participating Provider | NO | |
| 1689049892 | DANDONE (Organization) | 3525 DEL MAR HEIGHTS RD SUITE 830 SAN DIEGO, CA 92130 (858) 259-5527 | Non-Participating Provider | NO | |
| 1689050296 | ELAINE NGUYEN (Individual) | 4060 FAIRMOUNT AVE SAN DIEGO, CA 92105 (619) 564-7018 | Non-Participating Provider | NO | |
| 1689055162 | PAULO CORTES (Individual) | 10737 CAMINO RUIZ STE 120 SAN DIEGO, CA 92126 (858) 566-0842 |
| Non-Participating Provider | YES |
| 1689109894 | JOSHUA RYAN PEGEL (Individual) | 6285 LUSK BLVD SAN DIEGO, CA 92121 (858) 755-3515 |
| Non-Participating Provider | NO |
| 1689141780 | WESTERN DENTAL SERVICES, INC. (Organization) | 5807 UNIVERSITY AVE STE 3-5 SAN DIEGO, CA 92115 (619) 610-1129 | Non-Participating Provider | NO | |
| 1689231490 | JANICE DOAN DENTAL PC A PLUS FAMILY DENTISTRY (Organization) | 6755 MIRA MESA BLVD STE 218 SAN DIEGO, CA 92121 (858) 412-4933 | Non-Participating Provider | NO | |
| 1689237596 | ARIELLE CANOZA (Individual) | 3268 GREYLING DR SAN DIEGO, CA 92123 (858) 617-0620 |
| Non-Participating Provider | YES |
| 1689250284 | SALAUNI R KARIA DDS APC (Organization) | 5375 KEARNY VILLA RD STE 103 SAN DIEGO, CA 92123 (858) 277-5737 |
| Non-Participating Provider | NO |
| 1689329740 | DIAGDENTAL PROFESSIONAL CORPORATION (Organization) | 523 E SAN YSIDRO BLVD SAN DIEGO, CA 92173 (858) 263-6494 | Non-Participating Provider | NO | |
| 1689363426 | NAJEEB FRANGOOL (Individual) | 4428 CONVOY ST STE 230 SAN DIEGO, CA 92111 (858) 261-2735 | Non-Participating Provider | NO | |
| 1689492381 | ROSLYN JOSEPH (Individual) | 575 CAMINO DE LA REINA STE 100 SAN DIEGO, CA 92108 (619) 573-4889 | Non-Participating Provider | YES | |
| 1689556375 | TINA MOBASSERI, DDS INC (Organization) | 15640 CALDAS DE REYES SAN DIEGO, CA 92128 (704) 533-3523 | Non-Participating Provider | NO | |
| 1689667693 | LAURA SIRUS MCFARLAND (Individual) | 9785 GRACELAND WAY SAN DIEGO, CA 92129 (858) 484-4541 |
| Non-Participating Provider | NO |
| 1689708380 | K. ARDJMAND, D.D.S., INC. MODERN DENTISTRY (Organization) | 4765 CARMEL MOUNTAIN RD SUITE 208 SAN DIEGO, CA 92130 (858) 259-4765 | Non-Participating Provider | NO | |
| 1689744419 | WILLIAM E GABLE (Individual) | 9855 ERMA ROAD SUITE 138 SAN DIEGO, CA 92131 (858) 549-9688 | Non-Participating Provider | NO | |
| 1689747834 | JENG-KANG RICHARD SHIH (Individual) | 8226 MIRAMAR RD SAN DIEGO, CA 92126 (858) 689-6088 |
| Non-Participating Provider | YES |
| 1689748824 | MASHA MIRKIN (Individual) | 4633 INGRAHAM STREET SUITE B SAN DIEGO, CA 92109 (858) 490-6999 |
| Non-Participating Provider | NO |
| 1689777005 | ROBERT C LACIVITA (Individual) | 5830 OBERLIN DR STE 105 SAN DIEGO, CA 92121 (858) 546-1199 | Non-Participating Provider | NO | |
| 1689782054 | ANDREW J SEVERSON DDS APC ANDREW J SEVERSON DDS APC (Organization) | 16810 BERNARDO CENTER DR SAN DIEGO, CA 92128 (858) 485-1123 | Non-Participating Provider | NO | |
| 1689862484 | SIUMAN FAN DDS INC. (Organization) | 2020 CAMINO DEL RIO N 101 SAN DIEGO, CA 92108 (619) 692-4310 |
| Non-Participating Provider | NO |
| 1689918856 | SHALINI S THATTE (Individual) | 9420 MIRA MESA BLVD STE G SAN DIEGO, CA 92126 (858) 271-0600 |
| Non-Participating Provider | YES |
| 1689970378 | PAUL LUCZYNSKI (Individual) | 3730 3RD AVE SAN DIEGO, CA 92103 (619) 297-2949 | Non-Participating Provider | NO | |
| 1699007781 | IVAN ALEXANDER TERAN (Individual) | 8775 COSTA VERDE BLVD APT 603 SAN DIEGO, CA 92122 (858) 220-2476 |
| Non-Participating Provider | NO |
| 1699095422 | JOYAL WESLEY TAYLOR (Individual) | 4295 GESNER ST SUITE 3L SAN DIEGO, CA 92117 (619) 276-1172 | Non-Participating Provider | NO | |
| 1699118729 | ROSSANA LETICIA ARAVENA (Individual) | 1809 NATIONAL AVE SAN DIEGO, CA 92113 (619) 515-2300 | Non-Participating Provider | YES | |
| 1699146886 | RIGOBERTO NEGRETE (Individual) | 11230 SORRENTO VALLEY RD STE 130 SAN DIEGO, CA 92121 (858) 391-6738 |
| Non-Participating Provider | YES |
| 1699214478 | GLENN C. ASHMORE DDS, INC. DENTAL EXPRESS (Organization) | 9480 CUYAMACA STREET SAN DIEGO, CA 92071 (619) 701-6623 | Non-Participating Provider | NO | |
| 1699250464 | MIGUEL RAMIREZ AGUILAR (Organization) | 1041 MARKET ST STE 165 SAN DIEGO, CA 92101 (618) 488-3200 | Non-Participating Provider | NO | |
| 1699255414 | CARISSA LEANA CERNA (Individual) | MARINE CORPS RECRUITING DEPOT BUILDING 595 SAN DIEGO, CA 92140 (619) 524-4005 | Non-Participating Provider | NO | |
| 1699348250 | SARAH ELGHOR (Individual) | 4765 CARMEL MOUNTAIN RD STE 203 SAN DIEGO, CA 92130 (858) 314-3172 |
| Non-Participating Provider | NO |
| 1699404335 | ROCIO ZARAGOZA SANTACRUZ (Individual) | 7011 LINDA VISTA RD SAN DIEGO, CA 92111 (858) 279-9676 |
| Non-Participating Provider | YES |
| 1699449116 | PATRICIA LEE (Individual) | 5965 VILLAGE WAY STE E-206 SAN DIEGO, CA 92130 (858) 900-3541 |
| Non-Participating Provider | NO |
| 1699458752 | ASHLEY R SERCIA (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (831) 238-1506 | Non-Participating Provider | NO | |
| 1699492561 | LILIA KATHERINE PORTALES (Individual) | 2987 CORONADO AVE STE A SAN DIEGO, CA 92154 (619) 789-5029 |
| Non-Participating Provider | YES |
| 1699497743 | BAHAREH DADRESANFAR (Individual) | 4458 VIA PASEAR SAN DIEGO, CA 92122 (360) 448-5503 |
| Non-Participating Provider | NO |
| 1699660449 | ANDREW ZIEBA (Individual) | 34800 BOB WILSON DRIVE BUILDING 91, 2ND DECK SAN DIEGO, CA 92134 (619) 532-6400 | Non-Participating Provider | NO | |
| 1699796276 | TORREY PINES ORAL & MAXILLOFACIAL SURGERY ROGER S KINGSTON DDS CHARLES C PHILLIPS III DMD (Organization) | 12395 EL CAMINO REAL SUITE 304 SAN DIEGO, CA 92130 (858) 793-3393 | Non-Participating Provider | NO | |
| 1699824409 | ADAM JAY BRAND (Individual) | 10425 TIERRASANTA BLVD SUITE #205 SAN DIEGO, CA 92124 (858) 560-6374 |
| Non-Participating Provider | NO |
| 1699841965 | RICHARD JOHN MERCADO (Individual) | 2850 6TH AVE STE #603 SAN DIEGO, CA 92103 (619) 295-5228 |
| Non-Participating Provider | NO |
| 1699849273 | HOWARD PARKER DAMBROSE (Individual) | 10715 TIERRASANTA BLVD STE C SAN DIEGO, CA 92124 (858) 278-6444 | Non-Participating Provider | NO | |
| 1699888420 | DWIGHT ALLEN OATES (Individual) | 4251 INGRAHAM ST SAN DIEGO, CA 92109 (858) 273-9435 | Non-Participating Provider | NO | |
| 1699924381 | TIMOTHY CHRISTOPHER THOMAS (Individual) | 306 WALNUT AVE SUITE #38 SAN DIEGO, CA 92103 (619) 234-0864 |
| Non-Participating Provider | YES |
| 1699943050 | BRIAN CHAN (Individual) | 16766 BERNARDO CENTER DR STE 100 SAN DIEGO, CA 92128 (858) 485-6781 | Non-Participating Provider | NO | |
| 1699949545 | MARIE ANN MOECKEL (Individual) | 8899 UNIVERSITY CENTER LN STE 110 SAN DIEGO, CA 92122 (858) 452-1504 |
| Non-Participating Provider | NO |
| 1699951764 | YU-SONG YEN CLAIREMONT DENTAL GROUP (Organization) | 5222 BALBOA AVE STE 71 SAN DIEGO, CA 92117 (858) 279-1900 | Non-Participating Provider | NO | |
| 1699975060 | RAMIN GOSHTASBI (Individual) | 9999 MIRA MESA BLVD STE 105 SAN DIEGO, CA 92131 (858) 271-1010 |
| Non-Participating Provider | YES |
| 1700030947 | DORIS N/A FILL (Individual) | 2845 NIMITZ BLVD STE A STE A SAN DIEGO, CA 92106 (619) 223-8179 |
| Non-Participating Provider | NO |
| 1700070646 | MARY M. O'CONNOR, DDS, INC (Organization) | 420 SPRUCE ST STE A SAN DIEGO, CA 92103 (619) 291-5291 |
| Non-Participating Provider | NO |
| 1700096245 | SANDRA MEI GWEN CHASE (Individual) | 4410 30TH ST SUITE A SAN DIEGO, CA 92116 (619) 283-2254 |
| Non-Participating Provider | NO |
| 1700131588 | TOMAS JUSKA (Individual) | 6973 LINDA VISTA ROAD SAN DIEGO, CA 92111 (858) 279-9676 |
| Non-Participating Provider | NO |
| 1700165917 | MATTHEW DURSCHLAG (Individual) | 239 LAUREL ST STE 201 SAN DIEGO, CA 92101 (619) 291-5266 |
| Non-Participating Provider | NO |
| 1700262987 | KAMRAN WILLIAM PIRASTEHFAR (Individual) | 10405 TIERRASANTA BLVD SAN DIEGO, CA 92124 (858) 492-9300 |
| Non-Participating Provider | YES |
| 1700324977 | BHUMIBEN P PATEL (Individual) | 18170 CHIEFTAIN CT SAN DIEGO, CA 92127 (858) 381-7817 | Non-Participating Provider | NO | |
| 1700333911 | MICHAEL JEFFREY LAWRENCE (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (503) 258-7412 | Non-Participating Provider | NO | |
| 1700339397 | CHAPOKAS LUCZYNSKI DENTAL PARTNERSHIP C & L DENTAL (Organization) | 3730 3RD AVE SAN DIEGO, CA 92103 (619) 297-2949 | Non-Participating Provider | NO | |
| 1700460748 | EDITHANN J GRAHAM DMD MS INC (Organization) | 1806 CABLE ST SAN DIEGO, CA 92107 (619) 226-4784 | Non-Participating Provider | NO | |
| 1700504164 | LAYTON DENTAL CORP (Organization) | 3750 CONVOY ST STE 307 SAN DIEGO, CA 92111 (858) 277-4453 |
| Non-Participating Provider | NO |
| 1700521515 | NINA CHACHAD (Individual) | 4060 FAIRMOUNT AVE SAN DIEGO, CA 92105 (619) 255-9155 |
| Non-Participating Provider | NO |
| 1700800695 | ALLISON P. TRAN (Individual) | 10850 BAROQUE LN SUITE C SAN DIEGO, CA 92124 (858) 560-8250 |
| Non-Participating Provider | NO |
| 1700812393 | KENNETH M FEDOR (Individual) | 3350 LA JOLLA VILLAGE DR SAN DIEGO, CA 92161 (858) 557-7525 | Non-Participating Provider | NO | |
| 1700906302 | HUAN-TONY BAO NGO (Individual) | 6663 EL CAJON BLVD SUITE # C-D SAN DIEGO, CA 92115 (619) 337-8005 | Non-Participating Provider | NO | |
| 1700915808 | JOSE L. LOPEZ, DDS, INC (Organization) | 3490 PALM AVE SAN DIEGO, CA 92154 (619) 423-1351 | Non-Participating Provider | NO | |
| 1700927514 | ANTHONY JOSEPH MARCIANTE (Individual) | BRANCH DENTAL CLINIC MCRD 43000 MIDWAY AVE, BLDG 595 SAN DIEGO, CA 92140 (619) 524-4009 | Non-Participating Provider | NO | |
| 1700944584 | XUSHENG MU (Individual) | 4716 CLAIREMONT MESA BLVD SAN DIEGO, CA 92117 (858) 270-4588 | Non-Participating Provider | NO | |
| 1700946084 | CHUNG-LING HSIEH (Individual) | 4620 CONVOY ST SUITE G SAN DIEGO, CA 92111 (858) 573-1105 |
| Non-Participating Provider | NO |
| 1700955002 | STEVEN T HURST (Individual) | 4690 GENESEE AVE SAN DIEGO, CA 92117 (858) 560-9696 | Non-Participating Provider | NO | |
| 1700968930 | MOZHGAN ANDALIBI-ABADAN (Individual) | 4765 CARMEL MOUNTAIN RD SUITE# 205 SAN DIEGO, CA 92130 (858) 350-7400 |
| Non-Participating Provider | YES |
| 1710026059 | BREANNE WILLIAMS REID (Individual) | 8733 TILLAGE LANE SAN DIEGO, CA 92127 (858) 997-7444 |
| Non-Participating Provider | NO |
| 1710049697 | PAUL DOUGLAS GIMBY (Individual) | 12750 CARMEL COUNTRY ROAD SUITE 205 SAN DIEGO, CA 92130 (858) 481-1148 | Non-Participating Provider | NO | |
| 1710182480 | G.L. BERRY D.D.S., A DENTAL CORPORATION NEIGHBORHOOD FAMILY DENTAL PRACTICE (Organization) | 4655 CASS ST SUITE 100 SAN DIEGO, CA 92109 (858) 362-3540 | Non-Participating Provider | NO | |
| 1710192919 | RANA K. ISAQI , D.D.S DENTISTRY OF OLD TOWN (Organization) | 3659 INDIA ST STE 100 SAN DIEGO, CA 92103 (619) 297-7722 | Non-Participating Provider | NO | |
| 1710248208 | IMELDA HILDA DAVID DMD INC (Organization) | 5059 EL CAJON BLVD SAN DIEGO, CA 92115 (619) 583-7720 | Non-Participating Provider | NO | |
| 1710256664 | GARY ROBERT TOPPI (Individual) | 3737 MORAGA AVE STE B109 SAN DIEGO, CA 92117 (858) 270-2343 |
| Non-Participating Provider | NO |
| 1710265673 | KERESHMEH AHMADI (Individual) | 3330 3RD AVE STE 200 SAN DIEGO, CA 92103 (619) 816-2128 |
| Non-Participating Provider | NO |
| 1710288147 | WILLIAM ALBERT OLSON (Individual) | 7319 CLAIREMONT MESA BLVD. SAN DIEGO, CA 92111 (858) 569-9651 |
| Non-Participating Provider | YES |
| 1710294525 | ANGELA LEE (Individual) | 12395 EL CAMINO REAL STE 312 SAN DIEGO, CA 92130 (858) 259-0331 |
| Non-Participating Provider | NO |
| 1710296215 | JANICE NAZARENO (Individual) | 8163 RIMRIDGE LN SAN DIEGO, CA 92126 (858) 549-4946 |
| Non-Participating Provider | YES |
| 1710351739 | MINH PHAM AND DIANA DO DENTAL CORPORATION EAST VILLAGE DENTAL GROUP (Organization) | 1455 G ST. SAN DIEGO, CA 92101 (619) 324-4981 | Non-Participating Provider | NO | |
| 1710354808 | KIMBERLY CHAU WARD (Individual) | 10651 VILLAGE HVN UNIT 109 SAN DIEGO, CA 92130 (818) 468-9887 |
| Non-Participating Provider | NO |
| 1710379219 | LIYA DAVIDOVA (Individual) | 1776 GRAND AVE SAN DIEGO, CA 92109 (858) 270-7540 |
| Non-Participating Provider | NO |
| 1710401039 | LEA MARIA SIA ZOLINA (Individual) | 9330 MIRA MESA BLVD STE F SAN DIEGO, CA 92126 (858) 536-7005 |
| Non-Participating Provider | NO |
| 1710530035 | CAITLIN CARABALLO (Individual) | 2333 CAMINO DEL RIO S STE 310 SAN DIEGO, CA 92108 (214) 674-3433 |
| Non-Participating Provider | NO |
| 1710613815 | RABIE HANNA (Individual) | 4844 UNIVERSITY AVE STE B SAN DIEGO, CA 92105 (619) 258-5010 |
| Non-Participating Provider | NO |
| 1710908660 | AFSHIN HABASHI (Individual) | 10405 TIERRASANTA BLVD SAN DIEGO, CA 92124 (858) 492-9300 |
| Non-Participating Provider | YES |
| 1710959473 | JAMES VACEK (Individual) | 34800 BOB WILSON DR NMCSD, ATTN:MEDICAL STAFF SERVICES SAN DIEGO, CA 92134 (619) 532-6460 | Non-Participating Provider | NO | |
| 1720017569 | CANDICE LYNN KAMINSKI (Individual) | 16466 BERNARDO CENTER DR STE 176 SAN DIEGO, CA 92128 (858) 676-6709 | Non-Participating Provider | NO | |
| 1720059314 | JEFFERY S. NORDIN (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-9173 | Non-Participating Provider | NO | |
| 1720071160 | KAREN MARIE LYNCH (Individual) | 19871 MITSCHER WAY BUILDING 2495 SAN DIEGO, CA 92145 (858) 577-1825 | Non-Participating Provider | NO | |
| 1720212368 | WILLIAM SCOTT MEESTER (Individual) | 3444 KEARNY VILLA RD STE#406 SAN DIEGO, CA 92123 (858) 278-4500 |
| Non-Participating Provider | NO |
| 1720227267 | DORMAN MALONE (Individual) | 6919 PARADISE VALLEY RD STE 1A SAN DIEGO, CA 92139 (619) 479-5700 |
| Non-Participating Provider | NO |
| 1720229719 | SHERMAN LIN (Individual) | 5820 OBERLIN DR STE 109 SAN DIEGO, CA 92121 (858) 550-9688 |
| Non-Participating Provider | NO |
| 1720238710 | TIMOTHY C CHRISTIAN (Individual) | 6030 SANTO RD SUITE E SAN DIEGO, CA 92124 (858) 277-6010 |
| Non-Participating Provider | NO |
| 1720254170 | DAVID WILLIAM HELLERUD (Individual) | 4444 MANITOU WAY SAN DIEGO, CA 92117 (858) 274-0426 | Non-Participating Provider | YES | |
| 1720258460 | STEPHEN BARAL (Individual) | 5189 CLAIREMONT MESA BLVD SAN DIEGO, CA 92117 (858) 414-3460 |
| Opted out of Medicare | YES |
| 1720267776 | GARY WILLIAM HAWES (Individual) | 14391 PENASQUITOS DR STE A SAN DIEGO, CA 92129 (858) 672-0400 | Non-Participating Provider | NO | |
| 1720283179 | MARTHA E. SCHREINER (Individual) | 702 C ST SAN DIEGO, CA 92101 (619) 544-0544 | Non-Participating Provider | NO | |
| 1720294937 | CLAUDIA G FLORESCU (Individual) | 7748 REGENTS RD STE 301 SAN DIEGO, CA 92122 (858) 546-8600 | Non-Participating Provider | NO | |
| 1720302375 | EVELYN TARCILA HUAMAN (Individual) | 9040 FRIARS ROAD SUITE #535 SAN DIEGO, CA 92108 (619) 516-0018 | Non-Participating Provider | NO | |
| 1720380595 | ARSHDEEP KAUR (Individual) | 10913 BRECKENRIDGE DR SAN DIEGO, CA 92131 (408) 262-3070 |
| Non-Participating Provider | NO |
| 1720494297 | BRETT PAGE (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8229 |
| Non-Participating Provider | YES |
| 1720534886 | PARISSA NESSA BAIERA (Individual) | 1501 IMPERIAL AVE SAN DIEGO, CA 92101 (619) 233-8500 | Non-Participating Provider | YES | |
| 1720534951 | NOSTI AND RYGG DENTAL CORPORATION CARMEL VALLEY DENTIST OFFICE AND ORTHODONTICS DENTAL GROUP (Organization) | 5550 CARMEL MOUNTAIN ROAD, STE 200 SAN DIEGO, CA 92130 (858) 251-1410 | Non-Participating Provider | NO | |
| 1720536014 | JARROD GOLDBERG (Individual) | 8915 TOWNE CENTRE DR SUITE 112 SAN DIEGO, CA 92122 (858) 558-7713 |
| Non-Participating Provider | NO |
| 1720536857 | MA AND BIERMAN DENTAL PARTNERSHIP (Organization) | 315 WALNUT AVE SAN DIEGO, CA 92103 (619) 297-2954 | Non-Participating Provider | NO | |
| 1720656168 | SHIREEN TABATABAI (Individual) | 5550 CARMEL MOUNTAIN RD STE 101 SAN DIEGO, CA 92130 (858) 251-1407 |
| Non-Participating Provider | NO |
| 1720701972 | REBECCA A CHIN (Individual) | 2999 W EVANS RD SAN DIEGO, CA 92106 (925) 872-9976 |
| Non-Participating Provider | YES |
| 1720762776 | RHONDA SUMMER HABBAL (Individual) | 3350 LA JOLLA VILLAGE DR SAN DIEGO, CA 92161 (858) 552-8585 |
| Non-Participating Provider | NO |
| 1720978570 | EL CAJON DENTAL GROUP (Organization) | 4309 EUCLID AVE SAN DIEGO, CA 92115 (619) 709-6763 | Non-Participating Provider | NO | |
| 1730159377 | CURTIS MARTIN WERKING (Individual) | 34800 BOB WILSON DR NMCSD, ATTN: MEDICAL STAFF SERVICES SAN DIEGO, CA 92134 (619) 532-6460 | Non-Participating Provider | NO | |
| 1730195520 | FRANK ELIAS RAFAIL (Individual) | 11738 CARMEL MOUNTAIN RD STE 170 SAN DIEGO, CA 92128 (858) 675-1180 |
| Non-Participating Provider | NO |
| 1730203589 | CHARLES MARTIN HULSEY (Individual) | 16787 BERNARDO CENTER DR SUITE 2 SAN DIEGO, CA 92128 (858) 485-5577 | Non-Participating Provider | NO | |
| 1730217753 | CONNIE L PIERCE (Individual) | 13161 BLACK MOUNTAIN RD STE 5 SAN DIEGO, CA 92129 (858) 484-9202 |
| Non-Participating Provider | NO |
| 1730233149 | ROBERT JOHN BEY (Individual) | 8787 COMPLEX DR SUITE 100 SAN DIEGO, CA 92123 (858) 279-2226 | Non-Participating Provider | NO | |
| 1730238940 | DOUGLAS M GROSMARK (Individual) | 6398 DEL CERRO BLVD STE 1 SAN DIEGO, CA 92120 (619) 286-1181 |
| Non-Participating Provider | NO |
| 1730241498 | OMEED BUTRUS TOMA (Individual) | 3530 CAMINO DEL RIO N SUITE 109 SAN DIEGO, CA 92108 (619) 283-2093 |
| Non-Participating Provider | YES |
| 1730253212 | PAUL J STYRT (Individual) | 4510 EXECUTIVE DR PLAZA SUITE 3 SAN DIEGO, CA 92121 (858) 458-1088 | Non-Participating Provider | NO | |
| 1730276031 | MEGAN EILEEN CLARKE (Individual) | 6244 EL CAJON BLVD STE 8 SAN DIEGO, CA 92115 (619) 583-5400 | Non-Participating Provider | NO | |
| 1730392895 | TAI T HUYNH (Individual) | 2363 ULRIC ST A SAN DIEGO, CA 92111 (858) 279-8665 |
| Non-Participating Provider | NO |
| 1730398074 | OLGA KARNAKOVA,DDS, A DENTAL CORPORATION NEW SMILE DENTISTRY, DENTAL OFFICE OF OLGA KARNAKOVA, DDS, INC. (Organization) | 2780 CARDINAL RD SUITE B SAN DIEGO, CA 92123 (858) 278-7645 | Non-Participating Provider | NO | |
| 1730427907 | PATRYCJA ZAPASNIK (Individual) | 306 WALNUT AVE. SUITE 36A SAN DIEGO, CA 92103 (619) 234-8245 |
| Non-Participating Provider | NO |
| 1730477738 | LINDA AYANA VERIN (Individual) | 1333 CAMINO DEL RIO S #202 SAN DIEGO, CA 92108 (909) 556-0869 |
| Non-Participating Provider | YES |
| 1730478108 | JAMES EDWIN COLLINS (Individual) | 1501 IMPERIAL AVE SAN DIEGO, CA 92101 (619) 233-8500 | Non-Participating Provider | NO | |
| 1730499930 | JING WEI LEE (Individual) | 4341 CLAIREMONT MESA BLVD SAN DIEGO, CA 92117 (310) 630-7321 |
| Non-Participating Provider | YES |
| 1730547159 | JONATHAN H. DO, DDS (Organization) | 11665 AVENA PL STE 106 SAN DIEGO, CA 92128 (858) 375-6585 | Non-Participating Provider | NO | |
| 1730564824 | CLAUDIA LE (Individual) | 655 SATURN BLVD SUITE G SAN DIEGO, CA 92154 (619) 429-4030 |
| Non-Participating Provider | NO |
| 1730578428 | ANAS NAJM (Individual) | 6475 ALVARADO RD STE 205 SAN DIEGO, CA 92120 (832) 330-1296 |
| Non-Participating Provider | YES |
| 1730639188 | A.S. KIM DDS, INC. VILLAGE HILLCREST DENTAL (Organization) | 501 WASHINGTON ST STE 740 SAN DIEGO, CA 92103 (619) 296-2172 | Non-Participating Provider | NO | |
| 1730653437 | KEN DENTAL INC (Organization) | 4236 EL CAJON BLVD SAN DIEGO, CA 92105 (619) 584-4015 | Non-Participating Provider | NO | |
| 1730671306 | KE WANG (Individual) | 12395 EL CAMINO REAL STE 213 SAN DIEGO, CA 92130 (734) 972-5765 |
| Non-Participating Provider | NO |
| 1730678798 | IGOR LANTSBERG (Individual) | 2840 5TH AVE STE 300 SAN DIEGO, CA 92103 (619) 291-4325 |
| Non-Participating Provider | NO |
| 1730758152 | JACOB KHAN (Individual) | 34800 BOB WILSON DR STE 1 SAN DIEGO, CA 92134 (619) 532-8600 | Non-Participating Provider | NO | |
| 1730820465 | GABRIELLA ANDRIE (Individual) | 4776 CASS ST SAN DIEGO, CA 92109 (414) 288-6790 |
| Non-Participating Provider | NO |
| 1730866344 | NICOLE TYSZKOWSKI (Individual) | 2995 CLAIREMONT DR STE A SAN DIEGO, CA 92117 (858) 200-0827 | Non-Participating Provider | NO | |
| 1730925777 | HOLLY HINDERBERGER DENTAL CORPORATION (Organization) | 3001 EL CAJON BLVD STE 101 SAN DIEGO, CA 92104 (619) 704-0685 | Non-Participating Provider | NO | |
| 1730932641 | KEVIN ROSS ADAMS (Individual) | 950 S EUCLID AVE SAN DIEGO, CA 92114 (619) 662-4100 | Non-Participating Provider | YES | |
| 1740050244 | KEVIN JAHNG (Individual) | 9870 HIBERT ST STE D9 SAN DIEGO, CA 92131 (858) 433-7377 |
| Non-Participating Provider | NO |
| 1740205632 | LARRY J HOVEY (Individual) | 3957 GOVERNOR DR SAN DIEGO, CA 92122 (858) 453-1500 | Non-Participating Provider | NO | |
| 1740209808 | JOHN C HOLMAN (Individual) | 4320 GENESEE AVE SUITE 206 SAN DIEGO, CA 92117 (858) 279-6210 | Non-Participating Provider | NO | |
| 1740252113 | MARGARET K. O'ROURKE (Individual) | 34800 BOB WILSON DR NMCSD, ATTN: MEDICAL STAFF SERVICES SAN DIEGO, CA 92134 (619) 532-6460 | Non-Participating Provider | NO | |
| 1740273572 | CARLTON DALE CHERRY (Individual) | MITSCHER WAY BUILDING 2495 SAN DIEGO, CA 92145 (858) 577-1825 | Non-Participating Provider | NO | |
| 1740307826 | XUEJUN YAN (Individual) | 12798 RANCHO PENASQUITOS BLVD. SAN DIEGO, CA 92129 (858) 598-7878 |
| Non-Participating Provider | NO |
| 1740309798 | WILLIAM SANTFORD BATE (Individual) | 11777 BERNARDO PLAZA CT SUITE #207 SAN DIEGO, CA 92128 (858) 673-0737 | Non-Participating Provider | NO | |
| 1740342856 | LEE DENNIS LANDES (Individual) | 7189 NAVAJO RD SAN DIEGO, CA 92119 (619) 462-5780 | Non-Participating Provider | NO | |
| 1740355874 | KENNETH RILEY SPINT (Individual) | 2878 CAMINO DEL RIO S SUITE 210 SAN DIEGO, CA 92108 (619) 298-2200 | Non-Participating Provider | NO | |
| 1740361245 | SHAHEEN TOURIAN (Individual) | 9855 ERMA RD SUITE 137 SAN DIEGO, CA 92131 (858) 566-8516 |
| Non-Participating Provider | YES |
| 1740402320 | MICHAEL ANTHONY SPILOTRO (Individual) | 3805 CLAIREMONT DR SAN DIEGO, CA 92117 (858) 272-0070 |
| Opted out of Medicare | YES |
| 1740425016 | JOHN E LOFTHUS (Individual) | 8899 UNIVERSITY CENTER LN SUITE 100 SAN DIEGO, CA 92122 (858) 459-4364 | Non-Participating Provider | YES | |
| 1740441070 | JENNIFER TRANG XA, D.D.S, INC. EXCEL DENTAL ESCONDIDO (Organization) | 9225 MIRA MESA BLVD STE 103 SAN DIEGO, CA 92126 (858) 566-7645 | Non-Participating Provider | NO | |
| 1740466580 | JAIME ACUNA LOERA, DDS DENTAL CORP DENTAL ARTS OF CORONADO AVENUE (Organization) | 2987 CORONADO AVE STE A SAN DIEGO, CA 92154 (619) 429-5959 | Non-Participating Provider | NO | |
| 1740481456 | GEORGE CROW (Individual) | 16253 PINTO RIDGE DR SAN DIEGO, CA 92127 (858) 312-1024 |
| Non-Participating Provider | NO |
| 1740502426 | ROBERT GEORGE HACKIM (Individual) | 2918 FIFTH AVE., SUITE #310 SAN DIEGO, CA 92103 (619) 295-2288 |
| Non-Participating Provider | NO |
| 1740535848 | CHIEU PHAM DDS INC (Organization) | 12395 EL CAMINO REAL #312 SAN DIEGO, CA 92130 (858) 755-8282 |
| Non-Participating Provider | NO |
| 1740563253 | THOMAS VINCENT BRISLIN (Individual) | 4765 CARMEL MOUNTAIN RD STE 208 SAN DIEGO, CA 92130 (858) 259-4765 | Non-Participating Provider | YES | |
| 1740569631 | ALLEGIANCE DENTAL INC (Organization) | 4690 GENESEE AVE SUITE B SAN DIEGO, CA 92117 (858) 279-6100 |
| Non-Participating Provider | NO |
| 1740602283 | J MAROON DDS INC (Organization) | 2168 BALBOA AVE STE 1 SAN DIEGO, CA 92109 (858) 273-2800 | Non-Participating Provider | NO | |
| 1740637974 | HENNA HUSSAIN DDS INC (Organization) | 2245 RIVER RUN DR APT 4202 SAN DIEGO, CA 92108 (516) 384-0898 | Non-Participating Provider | NO | |
| 1740798446 | JARED GIBBONS (Individual) | 435 4TH AVE SAN DIEGO, CA 92101 (619) 850-2550 |
| Non-Participating Provider | NO |
| 1740846526 | LISA DANH (Individual) | 7440 BEAGLE ST SAN DIEGO, CA 92111 (858) 429-8444 |
| Non-Participating Provider | NO |
| 1740913490 | SMILES HQ SAN DIEGO (Organization) | 6545 BALBOA AVE STE A SAN DIEGO, CA 92111 (858) 292-7655 | Non-Participating Provider | NO | |
| 1740919596 | YASAMAN JAVDAN (Individual) | 7655 MARKER RD SAN DIEGO, CA 92130 (929) 421-5914 |
| Non-Participating Provider | NO |
| 1740958198 | AZAR PARSAFAR (Individual) | 12125 ALTA CARMEL CT STE 310 SAN DIEGO, CA 92128 (619) 800-4948 |
| Non-Participating Provider | NO |
| 1740958214 | FREDDIE HSIAO (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-8217 |
| Non-Participating Provider | NO |
| 1740966621 | DALLIN ROBERT CARDON (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6400 | Non-Participating Provider | NO | |
| 1750145579 | SURAMYA SHARMA (Individual) | 11653 WESTVIEW PKWY SAN DIEGO, CA 92126 (480) 669-0594 |
| Non-Participating Provider | YES |
| 1750319828 | BRADLEY WONG (Individual) | 3350 LA JOLLA VILLAGE DR DENTAL SERVICE (160) SAN DIEGO, CA 92161 (858) 552-7525 | Non-Participating Provider | NO | |
| 1750427530 | GRACIA TALAG LUMANG (Individual) | 10737 CAMINO RUIZ SUITE 145 SAN DIEGO, CA 92126 (858) 578-8171 | Non-Participating Provider | NO | |
| 1750448650 | JESSY S. SIDHU, DMD PROF. CORP. DEL MAR HIGHLANDS DENTISTRY (Organization) | 12925 EL CAMINO REAL STE J22 SAN DIEGO, CA 92130 (858) 350-1005 | Non-Participating Provider | NO | |
| 1750459806 | STEVEN J BYERS (Individual) | 4403 MARLBOROUGH AVE SAN DIEGO, CA 92116 (619) 282-7060 |
| Non-Participating Provider | NO |
| 1750480265 | BRIAN MICHAEL DAVEY (Individual) | 7805 HIGHLAND VILLAGE PL G-105 SAN DIEGO, CA 92129 (858) 538-8300 |
| Opted out of Medicare | YES |
| 1750506754 | JUAN CARLOS BOSQUE (Individual) | 3760 CONVOY ST SUITE 330 SAN DIEGO, CA 92111 (858) 999-5968 |
| Non-Participating Provider | YES |
| 1750563664 | ANDREW BEIZAEE (Individual) | 5421 SHANNON RIDGE LN SAN DIEGO, CA 92130 (181) 768-1357 |
| Non-Participating Provider | YES |
| 1750570354 | EUGENE CHARLES HANSON (Individual) | 4065 3RD AVE STE 300 SAN DIEGO, CA 92103 (619) 298-2291 | Non-Participating Provider | NO | |
| 1750581377 | ARTHUR J. FERRARIO (Individual) | 4603 CASS ST SAN DIEGO, CA 92109 (858) 483-0202 | Non-Participating Provider | NO | |
| 1750595195 | ELMIRA KHODAPANAH (Individual) | 2333 CAMINO DEL RIO S STE 140 SAN DIEGO, CA 92108 (619) 574-1810 |
| Non-Participating Provider | YES |
| 1750611125 | RATHNASIRI K. MUDIYANSELAGE (Individual) | 3736 MYKONOS LN UNIT 128 SAN DIEGO, CA 92130 (626) 698-1152 |
| Non-Participating Provider | NO |
| 1750654950 | SERENA KURT (Individual) | 4453 CLAIREMONT MESA BLVD SAN DIEGO, CA 92117 (858) 274-1900 |
| Non-Participating Provider | NO |
| 1750725578 | MINH B. PHAM D.D.S. INC. CLAIREMONT SMILES DENTISTRY AND ORTHODONTICS DENTAL GROUP (Organization) | 5675 BALBOA AVE SAN DIEGO, CA 92111 (858) 268-0110 | Non-Participating Provider | NO | |
| 1750767851 | TARABISHI DDS, INC (Organization) | 4223 GENESEE AVE STE 109 SAN DIEGO, CA 92117 (858) 278-2700 | Non-Participating Provider | NO | |
| 1750912333 | WENDY YANG DDS MS PC (Organization) | 12650 SABRE SPRINGS PKWY STE 205 SAN DIEGO, CA 92128 (415) 609-7087 |
| Non-Participating Provider | NO |
| 1750933610 | HINDERBERGER DENTAL CORPORATION NORTH PARK MODERN DENTISTRY DENTAL GROUP (Organization) | 2050 EL CAJON BOULEVARD SAN DIEGO, CA 92104 (619) 637-9774 | Non-Participating Provider | NO | |
| 1760019129 | CATHERINE NICOLE CLOETTA (Individual) | COMNAVSURFPAC 2841 RENDOVA RD SAN DIEGO, CA 92155 (619) 545-8486 | Non-Participating Provider | NO | |
| 1760052476 | BOMY J SHIM (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6400 | Non-Participating Provider | NO | |
| 1760115059 | BRIAN MINH LUONG (Individual) | 9225 MIRA MESA BLVD STE 103 SAN DIEGO, CA 92126 (858) 566-7645 | Non-Participating Provider | NO | |
| 1760120810 | TARAPOREWALLA DENTAL CORPORATION (Organization) | 4585 COLLEGE AVE STE B SAN DIEGO, CA 92115 (619) 398-0624 | Non-Participating Provider | NO | |
| 1760164875 | JAMES H MACDOWELL DDS INC (Organization) | 11710 EL CAMINO REAL STE 150 SAN DIEGO, CA 92130 (858) 788-9788 |
| Non-Participating Provider | NO |
| 1760210603 | DRAGOSLAV MILOSAVLJEVIC (Individual) | 5465 CAMINO PLAYA MALAGA SAN DIEGO, CA 92124 (929) 284-8265 | Non-Participating Provider | NO | |
| 1760233977 | MAKADIA DDS CORP (Organization) | 2333 CAMINO DEL RIO S STE 200 SAN DIEGO, CA 92108 (909) 996-6951 | Non-Participating Provider | NO | |
| 1760525372 | JANN MANANTAN RAMOS (Individual) | 4320 GENESEE AVE STE 101 SAN DIEGO, CA 92117 (858) 277-8100 | Non-Participating Provider | NO | |
| 1760528558 | RONALD BENNETT SCHATZ (Individual) | 34800 BOB WILSON DR NMCSD, DENTAL SUITE 206 SAN DIEGO, CA 92134 (619) 532-8605 | Non-Participating Provider | NO | |
| 1760532691 | PETER SADORI (Individual) | 3340 N MOUNTAIN VIEW DR SAN DIEGO, CA 92116 (619) 516-4325 | Non-Participating Provider | NO | |
| 1760590335 | ALEV CAN KORYUREK (Individual) | 3330 3RD AVE SUITE A & B SAN DIEGO, CA 92103 (619) 291-8750 |
| Non-Participating Provider | NO |
| 1760620215 | GARCIA DENTAL INC (Organization) | 1270 PICADOR BVLD. SUITE L,M SAN DIEGO, CA 92154 (619) 690-9318 | Non-Participating Provider | NO | |
| 1760695845 | KENNETH JOHN PATTERSON (Individual) | 5222 BALBOA AVE. 72 SAN DIEGO, CA 92117 (858) 277-5141 |
| Non-Participating Provider | NO |
| 1760738488 | STUART T. TANI DDS, A DENTAL CORP. (Organization) | 4690 GENESEE AVE SUITE B SAN DIEGO, CA 92117 (858) 279-6100 | Non-Participating Provider | NO | |
| 1760778104 | PHILIP LEPOR (Individual) | 6161 EL CAJON BLVD # B-465 SAN DIEGO, CA 92115 (619) 286-8994 | Non-Participating Provider | NO | |
| 1760798094 | NGUYEN TRAN (Individual) | 8174 TORRELL WAY SAN DIEGO, CA 92126 (858) 357-1960 |
| Non-Participating Provider | NO |
| 1760944839 | URIARTE DENTAL CORPORATION (Organization) | 2937 BEYER BLVD SAN DIEGO, CA 92154 (619) 600-4450 | Non-Participating Provider | NO | |
| 1770010795 | ELENAZ SARSHAR (Individual) | 6750 BEADNELL WAY UNIT 49 SAN DIEGO, CA 92117 (858) 436-4949 |
| Non-Participating Provider | NO |
| 1770026965 | BRUCE R. BRUMM, D.D.S., INC. (Organization) | 3957 GOVERNOR DR SAN DIEGO, CA 92122 (858) 453-1500 | Non-Participating Provider | NO | |
| 1770133977 | JEFFREY LELAND ELMER (Individual) | 2310 CRAVEN ST UNIT 3210 SAN DIEGO, CA 92136 (619) 556-8240 |
| Non-Participating Provider | NO |
| 1770295602 | COASTAL SLEEP SOLUTIONS SAN DIEGO, INC. (Organization) | 5414 OBERLIN DR STE 235 SAN DIEGO, CA 92121 (858) 617-0660 | Non-Participating Provider | NO | |
| 1770524225 | DAMON JOHN WESTWOOD (Individual) | 1915 HORNBLEND ST SAN DIEGO, CA 92109 (858) 866-0696 | Opted out of Medicare | YES | |
| 1770535148 | DOROTHY C. DURY (Individual) | NAVAL MEDICAL CENTER, SAN DIEGO 34800 BOB WILSON DRIVE SAN DIEGO, CA 92134 (619) 532-7398 | Non-Participating Provider | NO | |
| 1770553406 | ANTHONY DAVID JOHN (Individual) | 10672 WEXFORD ST SUITE 265 SAN DIEGO, CA 92131 (858) 444-0600 |
| Non-Participating Provider | NO |
| 1770606238 | JUDY LEE (Individual) | 4765 CARMEL MOUNTAIN RD STE 200 SAN DIEGO, CA 92130 (858) 481-1771 |
| Non-Participating Provider | NO |
| 1770621591 | RAY DERAKSHAN (Individual) | 11134 RANCHO CARMEL DR SUITE 103 SAN DIEGO, CA 92128 (858) 485-1010 |
| Non-Participating Provider | YES |
| 1770639270 | PETER GERARD SEDER (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8200 | Non-Participating Provider | NO | |
| 1770650129 | CHARLES L GARRISON (Individual) | 7345 LINDA VISTA RD STE D SAN DIEGO, CA 92111 (858) 278-3385 |
| Non-Participating Provider | NO |
| 1770660987 | IBRAHIM ASSAAD SAWAYA (Individual) | 1809 NATIONAL AVE SAN DIEGO, CA 92113 (619) 515-2391 |
| Non-Participating Provider | YES |
| 1770679433 | JAMES HUBERT THOMPSON (Individual) | 7424 JACKSON DR STE 3 SAN DIEGO, CA 92119 (619) 460-4600 |
| Non-Participating Provider | NO |
| 1770703969 | GLENN E HALDY (Individual) | 3670 CLAIREMONT DR STE 14 SAN DIEGO, CA 92117 (858) 343-0344 |
| Non-Participating Provider | NO |
| 1770750424 | LOC BAO (Individual) | 4236 EL CAJON BLVD SAN DIEGO, CA 92105 (619) 584-4015 | Non-Participating Provider | NO | |
| 1770790800 | KIMBERLY J. LUGTU (Individual) | 14569 VIA BETTONA SAN DIEGO, CA 92127 (310) 709-9184 |
| Non-Participating Provider | NO |
| 1770892838 | SHERIN JOHNSON (Individual) | 10343 SAN DIEGO MISSION RD #246D SAN DIEGO, CA 92108 (619) 917-1433 |
| Non-Participating Provider | NO |
| 1770925414 | JUNGHUN KIM (Individual) | 5638 MISSION CENTER RD STE 107 SAN DIEGO, CA 92108 (619) 220-0159 |
| Non-Participating Provider | YES |
| 1780061549 | VALENCIA LUCKMAN DDS INC (Organization) | 3737 MORAGA AVE B206 SAN DIEGO, CA 92117 (858) 273-0700 | Non-Participating Provider | NO | |
| 1780086298 | JOHNSON AND TASTO PARTNERSHIP SCRIPPS WEST DENTAL (Organization) | 9420 MIRA MESA BLVD STE D SAN DIEGO, CA 92126 (858) 695-1776 | Non-Participating Provider | NO | |
| 1780134254 | SOHA HEMMAT (Individual) | 7011 LINDA VISTA RD SAN DIEGO, CA 92111 (858) 810-8700 |
| Non-Participating Provider | YES |
| 1780169722 | DUNG MINH PHAM DDS INC. (Organization) | 7424 JACKSON DR STE 6 SAN DIEGO, CA 92119 (858) 265-9500 |
| Non-Participating Provider | NO |
| 1780197566 | R GONG DDS INC (Organization) | 9330 CARMEL MOUNTAIN RD STE A1 SAN DIEGO, CA 92129 (858) 201-3577 | Non-Participating Provider | NO | |
| 1780278655 | HASAN MOHAMMED MUSTAFA (Individual) | 286 EUCLID AVE STE 201 SAN DIEGO, CA 92114 (949) 800-9524 |
| Non-Participating Provider | NO |
| 1780412072 | MAURA KATHLEEN PEZZULLA (Individual) | 2841 RENDOVA RD SAN DIEGO, CA 92155 (760) 214-6978 | Non-Participating Provider | NO | |
| 1780445601 | RAYMOND E CARPENTER D D S INC (Organization) | 4320 GENESEE AVE STE 207 SAN DIEGO, CA 92117 (858) 775-6361 | Non-Participating Provider | NO | |
| 1780495879 | ESHA PATEL (Individual) | 9737 AERO DR STE 210B SAN DIEGO, CA 92123 (858) 336-8478 | Non-Participating Provider | NO | |
| 1780657650 | ROBERT CHRISTY HERRMANN (Individual) | 34800 BOB WILSON DR NMCSD, ATTN: MEDICAL SAN DIEGO, CA 92134 (619) 532-6460 | Non-Participating Provider | NO | |
| 1780712190 | RAYMOND MOGA (Individual) | 3774 CLAIREMONT DR SAN DIEGO, CA 92117 (858) 274-1219 | Non-Participating Provider | NO | |
| 1780755959 | GREGG W. BEATY (Individual) | 3737 MORAGA AVE SUITE B-200 SAN DIEGO, CA 92117 (858) 272-7086 | Non-Participating Provider | NO | |
| 1780770685 | DAVID RENS (Individual) | 4103 3RD AVE STE A SAN DIEGO, CA 92103 (619) 299-3200 |
| Non-Participating Provider | YES |
| 1780783431 | TRACY TADDEY-MOSS, DDS, INC. (Organization) | 7373 CLAIREMONT MESA BLVD #108F SAN DIEGO, CA 92111 (858) 560-4009 | Non-Participating Provider | NO | |
| 1780904144 | GEORGE DAMERJI (Individual) | 4620 CONVOY ST STE F SAN DIEGO, CA 92111 (858) 573-1105 |
| Non-Participating Provider | YES |
| 1780930503 | MELANIE EVE BAUER (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (303) 907-4092 |
| Opted out of Medicare | YES |
| 1790010205 | ROBERT CLARK HENDERSON (Individual) | 3226 GOVERNOR DR SAN DIEGO, CA 92122 (858) 453-4514 |
| Non-Participating Provider | NO |
| 1790136687 | CHERYL KANG GUERRERO (Individual) | 3810 VALLEY CENTRE DR STE 902A SAN DIEGO, CA 92130 (858) 755-8882 |
| Non-Participating Provider | YES |
| 1790151660 | MICHELLE EPSTEIN (Individual) | 2630 1ST AVE SAN DIEGO, CA 92103 (619) 234-2158 |
| Non-Participating Provider | YES |
| 1790262665 | DOMINIQUE D'ANTHONY (Individual) | NAVAL MEDICAL CENTER 34800 BOB WILSON DRIVE SAN DIEGO, CA 92134 (908) 763-1681 | Non-Participating Provider | NO | |
| 1790271039 | JOSE C. CASTILLO, D.D.S., INC. (Organization) | 2918 FIFTH AVE STE 310 SAN DIEGO, CA 92103 (619) 295-2288 | Non-Participating Provider | NO | |
| 1790413128 | ERICA CHIEN (Individual) | 7380 CLAIREMONT MESA BLVD SAN DIEGO, CA 92111 (858) 715-8080 | Non-Participating Provider | NO | |
| 1790671469 | BILAL ASHRAF CHAUDHARY (Individual) | 9870 HIBERT ST STE D9 SAN DIEGO, CA 92131 (858) 433-7377 | Non-Participating Provider | NO | |
| 1790756294 | JOSEPH VINCENT OLSZOWKA (Individual) | 34800 BOB WILSON DR NMCSD, ATTN: MEDICAL SAN DIEGO, CA 92134 (619) 532-6460 | Opted out of Medicare | YES | |
| 1790785863 | LONG KIM TRAN (Individual) | 4448 UNIVERSITY AVE SUITE D SAN DIEGO, CA 92105 (619) 521-6799 | Non-Participating Provider | NO | |
| 1790798031 | WILFRED BALTAZAR (Individual) | 9329 MIRA MESA BLVD SAN DIEGO, CA 92126 (858) 693-8448 |
| Non-Participating Provider | NO |
| 1790824621 | PAUL ALLEN LUTTRELL (Individual) | 43000 MIDWAY AVE. SAN DIEGO, CA 92140 (619) 524-4009 | Non-Participating Provider | NO | |
| 1790827152 | ANDREW K CHANG (Individual) | 9855 ERMA RD STE100 SAN DIEGO, CA 92131 (858) 536-2900 |
| Opted out of Medicare | YES |
| 1790852473 | MICHAEL JOSEPH AMODEO (Individual) | 11616 IBERIA PLACE SAN DIEGO, CA 92128 (858) 676-5000 |
| Non-Participating Provider | NO |
| 1790855583 | VIOLET FELDMAN (Individual) | 4511 CAMPOBELLO ST SAN DIEGO, CA 92130 (858) 231-4889 |
| Non-Participating Provider | YES |
| 1790878437 | SHIN SUK AHN (Individual) | 7612 LINDA VISTA ROAD SUITE 112 SAN DIEGO, CA 92111 (858) 279-0888 |
| Non-Participating Provider | NO |
| 1801000468 | DONALD LLOYD ANDERSON (Individual) | 6244 EL CAJON BLVD SUITE 8 SAN DIEGO, CA 92115 (619) 583-5400 | Non-Participating Provider | NO | |
| 1801024575 | DAVID MICHAEL SPERA (Individual) | 1050 ROSECRANS #J SAN DIEGO, CA 92106 (619) 222-2483 |
| Non-Participating Provider | NO |
| 1801042288 | ALISON KASAYO STAWICKI (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8229 |
| Non-Participating Provider | YES |
| 1801078464 | JOHN R HEIDENRICH (Individual) | 480 ALTA RD SAN DIEGO, CA 92179 (619) 661-6500 | Non-Participating Provider | NO | |
| 1801125794 | ROBERT HENRY MINER (Individual) | 12686 PICRUS ST SAN DIEGO, CA 92129 (760) 420-6775 |
| Non-Participating Provider | NO |
| 1801179932 | DUC NGUYEN (Individual) | 1333 CAMINO DEL RIO S STE 202 SAN DIEGO, CA 92108 (619) 260-4990 |
| Non-Participating Provider | YES |
| 1801294301 | PATRICIA CAMPILLO PERALTA (Individual) | 8590 RIO SAN DIEGO DR STE 110 SAN DIEGO, CA 92108 (619) 299-1122 |
| Non-Participating Provider | NO |
| 1801341813 | HUYNH AND HABASHI DENTAL CORPORATION BAY PARK DENTISTRY DENTAL GROUP (Organization) | 2995 CLAIREMONT DR SUITE A SAN DIEGO, CA 92117 (858) 200-0827 | Non-Participating Provider | NO | |
| 1801341847 | LARRY A WOZNUK DDS INC (Organization) | 3625 MIDWAY DR STE A SAN DIEGO, CA 92110 (619) 224-2204 | Non-Participating Provider | NO | |
| 1801342407 | JAMES B BERRY (Organization) | 4540 KEARNY VILLA RD STE 116 SAN DIEGO, CA 92123 (858) 571-3534 | Non-Participating Provider | NO | |
| 1801349055 | NORMA BRANSON DDS, INC. MURPHY CANYON DENTAL GROUP (Organization) | 5250 MURPHY CANYON RD STE 122 SAN DIEGO, CA 92123 (858) 268-8112 |
| Non-Participating Provider | NO |
| 1801442306 | ABRAHAM YAGUDAEV (Individual) | 7676 JACKSON DR STE 2 SAN DIEGO, CA 92119 (619) 582-3600 |
| Non-Participating Provider | NO |
| 1801454822 | ZEYNEP BARAKAT DMD, INC. (Organization) | 12396 WORLD TRADE DR STE 209 SAN DIEGO, CA 92128 (858) 451-2104 |
| Non-Participating Provider | NO |
| 1801460993 | JOSHUA LEE ALLEN (Individual) | 7695 CARDINAL CT STE 250 SAN DIEGO, CA 92123 (858) 737-9000 |
| Non-Participating Provider | NO |
| 1801501028 | JAMES GRANT (Individual) | 12395 EL CAMINO REAL STE 218 SAN DIEGO, CA 92130 (858) 755-1515 |
| Non-Participating Provider | YES |
| 1801621941 | EHSANI DENTAL PRACTICE (Organization) | 7695 CARDINAL CT STE 320 SAN DIEGO, CA 92123 (858) 277-8080 | Non-Participating Provider | NO | |
| 1801642236 | J. MOODY, DDS, A PROFESSIONAL CORPORATION (Organization) | 9187 CLAIREMONT MESA BLVD STE 4 SAN DIEGO, CA 92123 (619) 877-2859 | Non-Participating Provider | NO | |
| 1801650551 | YASAMAN SARDARI DDS PC MISSION VALLEY DENTAL ARTS (Organization) | 2333 CAMINO DEL RIO S STE 140 SAN DIEGO, CA 92108 (619) 574-1810 |
| Non-Participating Provider | NO |
| 1801812474 | SEDIGHEH ROYA SADRIAN (Individual) | 12778 RANCHO PENASQUITOS BLVD STE A SAN DIEGO, CA 92129 (858) 780-9794 |
| Non-Participating Provider | NO |
| 1801869904 | DAVID RICHARD KATZER (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8240 | Non-Participating Provider | NO | |
| 1801895628 | STEPHEN DOAN (Individual) | 8899 UNIVERSITY CENTER LN SUITE 110 SAN DIEGO, CA 92122 (858) 452-1504 | Opted out of Medicare | YES | |
| 1801922273 | MANIMANJARI MALLEMPALLI (Individual) | 9359 MIRAMESA BLVD SAN DIEGO, CA 92126 (858) 549-8045 |
| Non-Participating Provider | NO |
| 1801934153 | TIMOTHY RICHARD GAROFOLO (Individual) | 11968 BERNARDO PLAZA DR SAN DIEGO, CA 92128 (858) 451-2555 |
| Non-Participating Provider | NO |
| 1801945332 | OMAR MANUEL ARREOLA (Individual) | 2948 UNIVERSITY AVE SAN DIEGO, CA 92104 (619) 294-4500 |
| Non-Participating Provider | NO |
| 1801947254 | YU-SONG YEN (Individual) | 5222 BALBOA AVE STE 71 SAN DIEGO, CA 92117 (858) 279-1900 |
| Non-Participating Provider | YES |
| 1801994892 | SARA OAK (Individual) | 1850 CORONADO AVE STE 404 SAN DIEGO, CA 92154 (619) 423-1991 | Non-Participating Provider | YES | |
| 1811006067 | ASHLEY A GOODMAN DDS A PROFESSIONAL CORPORATION (Organization) | 8736 LAKE MURRAY BLVD STE 108 SAN DIEGO, CA 92119 (619) 697-6677 | Non-Participating Provider | NO | |
| 1811007677 | EDWARD WYATT GRAY (Individual) | 1776 GRAND AVENUE SAN DIEGO, CA 92109 (858) 270-7540 |
| Non-Participating Provider | NO |
| 1811021728 | CARLOS F GARCIA (Individual) | 1270 PICADOR BLVD STE L&M SAN DIEGO, CA 92154 (619) 690-9318 |
| Non-Participating Provider | NO |
| 1811033103 | GARY B CARR (Individual) | 6235 LUSK BLVD SAN DIEGO, CA 92121 (858) 558-3636 | Non-Participating Provider | NO | |
| 1811070295 | SIUMAN FAN (Individual) | 2020 CAMINO DEL RIO N 101 SAN DIEGO, CA 92108 (619) 692-4310 |
| Non-Participating Provider | NO |
| 1811075203 | ESTELA E. CAEG-BUSTAMANTE (Individual) | 8555 STATION VILLAGE WAY SUITE A SAN DIEGO, CA 92108 (619) 574-0205 |
| Non-Participating Provider | NO |
| 1811081383 | JAYE S VENUTI (Individual) | 12395 EL CAMINO REAL SUITE 312 SAN DIEGO, CA 92130 (858) 259-0331 | Non-Participating Provider | NO | |
| 1811083611 | LEWIS JOHN DORIA (Individual) | 2930 CORONADO AVENUE SUITE C SAN DIEGO, CA 92154 (619) 423-3602 | Non-Participating Provider | NO | |
| 1811168859 | DIAMANTINO FERREIRA (Individual) | 1537 ROSECRANS ST STE C SAN DIEGO, CA 92106 (619) 223-1606 |
| Non-Participating Provider | NO |
| 1811173628 | JUSTIN DANCEL POLANCE (Individual) | 3737 MORAGA AVE SUITE A-302 SAN DIEGO, CA 92117 (858) 273-1133 | Non-Participating Provider | NO | |
| 1811324023 | NATASHA CHANDHOKE (Individual) | 3900 FIFTH AVE STE 270 SAN DIEGO, CA 92103 (619) 810-1864 |
| Non-Participating Provider | YES |
| 1811362593 | SHERMAN, MONROE, BROWN DENTAL CORP. OCEAN MICROENDODONTICS (Organization) | 3330 3RD AVE SUITE 202 SAN DIEGO, CA 92103 (619) 298-9985 | Non-Participating Provider | NO | |
| 1811370232 | RALPH JAMISON THOMAS (Individual) | 5820 OBERLIN DR SUITE 109 SAN DIEGO, CA 92121 (858) 550-9688 | Non-Participating Provider | NO | |
| 1811393598 | TRAN, D.D.S., PC (Organization) | 4365 MEADE AVE SAN DIEGO, CA 92116 (619) 550-1491 |
| Non-Participating Provider | NO |
| 1811422421 | TIAN YUAN (Individual) | 16918 DOVE CANYON RD STE 201 SAN DIEGO, CA 92127 (858) 924-1000 |
| Non-Participating Provider | NO |
| 1811426117 | SADAF ASSADI (Individual) | 2995 CLAIREMONT DR STE A SAN DIEGO, CA 92117 (858) 500-3606 |
| Non-Participating Provider | YES |
| 1811549918 | DAVID RICHARD BONANNO (Individual) | 11717 BERNARDO PLAZA CT STE 100 SAN DIEGO, CA 92128 (858) 673-1633 |
| Non-Participating Provider | NO |
| 1811559479 | TRAM K LE DDS INC (Organization) | 10645 TIERRASANTA BLVD STE B SAN DIEGO, CA 92124 (858) 277-6080 | Non-Participating Provider | NO | |
| 1811611940 | ZEKI ABDULAALI, DDS, INC (Organization) | 10645 TIERRASANTA BLVD STE B SAN DIEGO, CA 92124 (858) 215-1042 |
| Non-Participating Provider | NO |
| 1811621436 | VICTORIA SANTIZO (Individual) | NAVY MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DRIVE SAN DIEGO, CA 92134 (914) 246-9402 | Non-Participating Provider | NO | |
| 1811623994 | JOSHUA SULLIVAN (Individual) | 2310 CRAVEN ST, BLDG 3230 SAN DIEGO, CA 92136 (619) 556-9151 | Non-Participating Provider | NO | |
| 1811719966 | ALINGOG DENTAL GROUP, INC. (Organization) | 5850 OBERLIN DR STE 210 SAN DIEGO, CA 92121 (415) 509-1854 | Non-Participating Provider | NO | |
| 1811747421 | NEGLERIO DENTAL GROUP INC (Organization) | 11777 BERNARDO PLAZA CT STE 106 SAN DIEGO, CA 92128 (858) 485-6199 | Non-Participating Provider | NO | |
| 1811905854 | ELDRIDGE CHARLES SMITH (Individual) | 3804 CLAIREMONT DRIVE SAN DIEGO, CA 92117 (858) 272-0070 | Non-Participating Provider | NO | |
| 1821017872 | DAVID A SMITH (Individual) | 5573 SANDBURG AVE SAN DIEGO, CA 92122 (858) 450-9222 | Non-Participating Provider | NO | |
| 1821125410 | KRISTON GALLIPEAU (Individual) | 305 WALNUT AVE SAN DIEGO, CA 92103 (619) 291-1181 |
| Non-Participating Provider | NO |
| 1821144585 | GLENN STOCKMAN (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-8600 | Non-Participating Provider | NO | |
| 1821199746 | VICTOR A. IPPOLITO DDS, INC. (Organization) | 6280 JACKSON DR SUITE 3 SAN DIEGO, CA 92119 (619) 461-7700 | Non-Participating Provider | NO | |
| 1821210378 | HO-JHIN JONATHAN LEE (Individual) | 9310 CARMEL MOUNTAIN RD SUITE A SAN DIEGO, CA 92129 (858) 484-4880 |
| Non-Participating Provider | NO |
| 1821221664 | ERIK AUSTIN STALDER (Individual) | 2655 CAMINO DEL RIO N SUITE 150 SAN DIEGO, CA 92108 (619) 282-7088 |
| Non-Participating Provider | NO |
| 1821267964 | JOHN MARK FROST (Individual) | 1333 CAMINO DEL RIO S SAN DIEGO, CA 92108 (619) 260-4990 |
| Non-Participating Provider | NO |
| 1821270547 | MARIA DULCE MANLY VARGAS-LOO (Individual) | 7878 CLAIREMONT MESA BLVD SUITE E SAN DIEGO, CA 92111 (858) 467-1223 |
| Non-Participating Provider | NO |
| 1821303538 | BROCK AARON GOODMAN (Individual) | 702 C ST SAN DIEGO, CA 92101 (408) 621-5779 |
| Non-Participating Provider | NO |
| 1821348186 | PIROUZ SALEHI (Individual) | 11760 WESTVIEW PKWY #181 SAN DIEGO, CA 92126 (212) 380-3466 |
| Non-Participating Provider | NO |
| 1821358250 | ALLEN JOB, DDS, MS, MPH, INC. ALL SMILES PEDIATRIC DENTISTRY (Organization) | 7695 CARDINAL CT SUITE 250 SAN DIEGO, CA 92123 (909) 684-5439 | Non-Participating Provider | NO | |
| 1821390030 | TARABISHI DDS INC. (Organization) | 6465 BALBOA AVE STE B SAN DIEGO, CA 92111 (858) 278-2700 |
| Non-Participating Provider | NO |
| 1821463340 | HALF DENTAL RANCHO BERNARDO INC (Organization) | 16476 BERNARDO CENTER DR SUITE 200 SAN DIEGO, CA 92128 (909) 576-3999 | Non-Participating Provider | NO | |
| 1821467655 | SAMANTHA ANNE MELZER (Individual) | 3177 OCEAN VIEW BLVD SAN DIEGO, CA 92113 (619) 662-4100 |
| Non-Participating Provider | YES |
| 1821494717 | SHOHREH TOURIAN (Individual) | 7451 MISSION GORGE ROAD SAN DIEGO, CA 92120 (619) 582-3000 |
| Non-Participating Provider | YES |
| 1821499856 | KEVIN BRANDON TAN (Individual) | 11665 AVENA PL STE 105 SAN DIEGO, CA 92128 (858) 674-6161 |
| Non-Participating Provider | NO |
| 1821565490 | JULIAN ANTHONY WADE (Individual) | 5060 LOGAN AVE SAN DIEGO, CA 92113 (619) 262-0706 |
| Non-Participating Provider | NO |
| 1821726688 | NINA HASHEMI DMD INC (Organization) | 16776 BERNARDO CENTER DR STE 105 SAN DIEGO, CA 92128 (858) 485-0044 |
| Non-Participating Provider | NO |
| 1821847567 | SANDHYA RAMANUJAM DDS INC (Organization) | 16466 BERNARDO CENTER DR STE 185 SAN DIEGO, CA 92128 (858) 757-3503 | Non-Participating Provider | NO | |
| 1831137645 | RUSSELL W MCCALLEY (Individual) | 4320 GENESEE AVE SUITE 201 SAN DIEGO, CA 92117 (858) 560-1996 | Opted out of Medicare | YES | |
| 1831258672 | THOMAS G. KUJAWSKI (Individual) | 5425 OBERLIN DR STE 101 SAN DIEGO, CA 92121 (858) 546-0500 | Opted out of Medicare | YES | |
| 1831301183 | WILLIAM EVERT LARSON (Individual) | 3755 MURPHY CANYON RD SUITE D SAN DIEGO, CA 92123 (858) 277-2999 |
| Non-Participating Provider | NO |
| 1831309038 | SHOHREH TOURIAN DDS INC MISSION GORGE FAMILY & COSMETIC DENTISTRY (Organization) | 7451 MISSION GORGE RD SAN DIEGO, CA 92120 (619) 582-3000 |
| Non-Participating Provider | NO |
| 1831356575 | BRIGHTCARE DENTAL GROUP (Organization) | 3078 UNIVERSITY AVE SAN DIEGO, CA 92104 (619) 295-8891 | Non-Participating Provider | NO | |
| 1831360973 | IRMA GAVALDON (Individual) | 8505 NAVAJO RD SAN DIEGO, CA 92119 (619) 828-1657 | Non-Participating Provider | NO | |
| 1831382993 | SCRIPPS RANCH FAMILY DENTISTRY (Organization) | 10299 SCRIPPS TRL STE F SAN DIEGO, CA 92131 (858) 578-0277 | Non-Participating Provider | NO | |
| 1831414200 | MIGUEL GRILLO, DMD PROSTHODONTIC SPECIALIST OF SAN DIEGO (Organization) | 12264 EL CAMINO REAL STE 306 SAN DIEGO, CA 92130 (858) 755-9810 | Non-Participating Provider | NO | |
| 1831423623 | NEWHART DENTAL INC NEWHART SMILES (Organization) | 4520 EXECUTIVE DR STE 340 SAN DIEGO, CA 92121 (858) 677-0661 | Non-Participating Provider | NO | |
| 1831525674 | SABRINA JUDIE SINCERE (Individual) | 34800 BOB WILSON DR BLDG6-5TH FLOOR SAN DIEGO, CA 92134 (619) 532-6471 | Non-Participating Provider | NO | |
| 1831569656 | ROBERT DOUGLAS CAMPBELL (Individual) | 2840 5TH AVE 300 SAN DIEGO, CA 92103 (619) 291-4325 | Non-Participating Provider | NO | |
| 1831638329 | VIET LE (Individual) | 2020 CAMINO DEL RIO N STE 108 SAN DIEGO, CA 92108 (619) 220-8545 |
| Non-Participating Provider | YES |
| 1831644053 | MARCO SAVITTIERI (Individual) | 6321 RANCHO PARK DR SAN DIEGO, CA 92120 (858) 337-7966 | Non-Participating Provider | NO | |
| 1831670793 | SPENCER GIBBONS (Individual) | 2155 KETTNER BLVD UNIT 613 SAN DIEGO, CA 92101 (505) 270-5792 | Non-Participating Provider | NO | |
| 1831703800 | YESSENIA VALVERDE INGERSOLL (Individual) | 7011 LINDA VISTA RD SAN DIEGO, CA 92111 (858) 810-8729 |
| Non-Participating Provider | YES |
| 1831741669 | MAHMOOD D.D.S., DENTAL CORP (Organization) | 6475 ALVARADO RD STE 205 SAN DIEGO, CA 92120 (619) 287-0990 |
| Non-Participating Provider | NO |
| 1831742303 | I ZAK DDS PROF DENTAL CORP (Organization) | 4167 OHIO ST SAN DIEGO, CA 92104 (619) 281-6635 | Non-Participating Provider | NO | |
| 1831797489 | LILY NESKIN (Individual) | 4454 SHOREPOINTE WAY SAN DIEGO, CA 92130 (619) 793-9011 |
| Non-Participating Provider | NO |
| 1831876804 | JESSICA RUBY CAMACHO (Individual) | 4060 FAIRMOUNT AVE SAN DIEGO, CA 92105 (619) 280-4213 |
| Non-Participating Provider | NO |
| 1841028107 | ALEXIS HURST (Individual) | 4690 GENESEE AVE SAN DIEGO, CA 92117 (858) 560-9696 | Non-Participating Provider | NO | |
| 1841320231 | FORTUNATA R. SOTO (Individual) | 3065 CLAIREMONT DR STE C SAN DIEGO, CA 92117 (619) 275-2626 | Non-Participating Provider | NO | |
| 1841320470 | AARON N FIDDELKE (Individual) | 6244 EL CAJON BLVD STE 1 SAN DIEGO, CA 92115 (619) 583-1100 |
| Non-Participating Provider | NO |
| 1841321296 | VINH TRAN DDS INC ORANGE FAMILY DENTAL (Organization) | 4205 FAIRMOUNT AVE SAN DIEGO, CA 92105 (619) 280-4861 |
| Non-Participating Provider | NO |
| 1841323458 | DANIEL SCOTT PERRY (Individual) | 6475 ALVARADO RD SUITE 205 SAN DIEGO, CA 92120 (619) 287-0990 | Non-Participating Provider | NO | |
| 1841344546 | ALI SHOJANIA (Individual) | 5927 BALBOA AVE SAN DIEGO, CA 92111 (858) 751-5733 |
| Non-Participating Provider | NO |
| 1841354347 | WESTERN DENTAL SERVICES, INC. (Organization) | 4123 UNIVERSITY AVE SAN DIEGO, CA 92105 (619) 521-0012 | Non-Participating Provider | NO | |
| 1841376407 | JAMES HOLTER SINKS (Individual) | 4320 GENESEE AVE SUITE 203 SAN DIEGO, CA 92117 (858) 541-7676 | Non-Participating Provider | NO | |
| 1841390358 | AVO HRATCH FRONJIAN (Individual) | 9636 TIERRA GRANDE ST STE 105 SAN DIEGO, CA 92126 (858) 549-4511 | Non-Participating Provider | YES | |
| 1841400918 | JAMES E HOPPER DDS INC. (Organization) | 9292 MIRA MESA BLVD SAN DIEGO, CA 92126 (858) 566-4200 | Non-Participating Provider | NO | |
| 1841482684 | BERNARD J. FINLAY DDS, INC.,APC (Organization) | 6571 IMPERIAL AVE SAN DIEGO, CA 92114 (619) 262-0781 | Non-Participating Provider | NO | |
| 1841485208 | ARVINDA REDDY KUNDURU (Individual) | 5440 MOREHOUSE DR SUITE 1800 SAN DIEGO, CA 92121 (858) 433-8798 |
| Non-Participating Provider | YES |
| 1841495157 | HIEN BUI, DMD A PROFESSIONAL DENTAL CORPORATION UCARE DENTAL (Organization) | 6255 LUSK BLVD # 250 SAN DIEGO, CA 92121 (858) 658-0691 | Non-Participating Provider | NO | |
| 1841527199 | MARK B. GRIFFITHS, DDS, A PROFESSIONAL DENTAL CORPORATION (Organization) | 3565 4TH AVE SAN DIEGO, CA 92103 (619) 298-6257 | Non-Participating Provider | NO | |
| 1841538303 | FRITZI A PEREZ-MYERS, DMD, INC. NA (Organization) | 9750 MIRAMAR RD STE 160 SAN DIEGO, CA 92126 (858) 586-9195 |
| Non-Participating Provider | NO |
| 1841627593 | JOHN RICHARD CODINGTON (Individual) | 9728 CARMEL MOUNTAIN RO. SUITE B SAN DIEGO, CA 92129 (858) 484-2560 | Non-Participating Provider | NO | |
| 1841649001 | ANKUR GANDHI (Individual) | 2619 CLAIREMONT DR SAN DIEGO, CA 92117 (562) 716-6453 |
| Non-Participating Provider | NO |
| 1841656402 | HARJOT CHAWLA DDS INC. (Organization) | 7189 NAVAJO RD STE A SAN DIEGO, CA 92119 (619) 741-1500 |
| Non-Participating Provider | NO |
| 1841656816 | POKALA CHAWLA DENTAL PARTNERSHIP BRSH FLSS PEDIATRIC DENTISTRY POKALA CHAWLA DENTAL GROUP (Organization) | 7189 NAVAJO RD SUITE A SAN DIEGO, CA 92119 (619) 741-1500 | Non-Participating Provider | NO | |
| 1841789724 | ARIELLE GANAS (Individual) | 7189 NAVAJO RD SAN DIEGO, CA 92119 (619) 741-1500 |
| Non-Participating Provider | YES |
| 1841827771 | JENNIFER HENS (Individual) | 1000 W WASHINGTON ST STE 2 SAN DIEGO, CA 92103 (619) 295-3456 |
| Non-Participating Provider | NO |
| 1841996675 | AMANDA LACERDA (Individual) | 11230 SORRENTO VALLEY RD STE 130 SAN DIEGO, CA 92121 (858) 682-2921 |
| Non-Participating Provider | NO |
| 1851099048 | M. RAUFY DDS, INC. (Organization) | 9750 MIRAMAR RD STE 380 SAN DIEGO, CA 92126 (858) 848-4180 |
| Non-Participating Provider | NO |
| 1851136659 | TANNER ISAAC WAKEFIELD (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6400 | Non-Participating Provider | NO | |
| 1851309264 | HELEN LIPUMANO GARON (Individual) | 1809 NATIONAL AVE SAN DIEGO, CA 92113 (619) 515-2300 |
| Non-Participating Provider | NO |
| 1851418255 | SAMUEL SOONHO LEE (Individual) | 6727 FLANDERS DR STE 220 SAN DIEGO, CA 92121 (714) 718-3446 | Non-Participating Provider | YES | |
| 1851454870 | MICHAEL D CRAWFORD DDS INC CRAWFORD DENTAL GROUP (Organization) | 5060 LOGAN AVE SAN DIEGO, CA 92113 (619) 262-0706 |
| Non-Participating Provider | NO |
| 1851463467 | COMMUNITY DENTAL SERVICES SMILECARE DENTAL GROUP (Organization) | 3820 CONVOY ST SAN DIEGO, CA 92111 (858) 569-1100 | Non-Participating Provider | NO | |
| 1851497630 | AMIT BATHEJA (Individual) | 8018 CLAIREMONT MESA BLVD SAN DIEGO, CA 92111 (858) 636-7887 |
| Non-Participating Provider | NO |
| 1851500011 | DAVID M DONNELLY (Individual) | 2445 2ND AVE SAN DIEGO, CA 92101 (619) 231-0822 |
| Non-Participating Provider | NO |
| 1851541031 | ALAN JAYSON TENGONCIANG (Individual) | 3737 MORAGA AVE STE B313 SAN DIEGO, CA 92117 (858) 270-2760 |
| Opted out of Medicare | YES |
| 1851658462 | DANIEL MICHAEL HARRIGAN (Individual) | 9225 MIRA MESA BLVD SUITE 212 SAN DIEGO, CA 92126 (858) 566-9452 | Non-Participating Provider | YES | |
| 1851689913 | JARED BRENT BUNKER (Individual) | 10175 RANCHO CARMEL DR SUITE 126 SAN DIEGO, CA 92128 (858) 675-9055 |
| Non-Participating Provider | YES |
| 1851724686 | NILOUFAR EGHLIMI (Individual) | 11412 MIRO CIR SAN DIEGO, CA 92131 (858) 603-9595 |
| Non-Participating Provider | NO |
| 1851729248 | HIEN BUI, DMD A PROFESSIONAL DENTAL CORPORATION (Organization) | 6255 LUSK BLVD STE 250 SAN DIEGO, CA 92121 (858) 658-0691 | Non-Participating Provider | NO | |
| 1851750814 | LAURA ELISABETH REIN (Individual) | 306 WALNUT AVE SUITE #33 SAN DIEGO, CA 92103 (619) 299-3560 |
| Non-Participating Provider | YES |
| 1851810188 | AGNES T STOCKELL (Individual) | 5060 LOGAN AVE SAN DIEGO, CA 92113 (949) 413-4090 |
| Non-Participating Provider | YES |
| 1851975734 | YASAMAN SARDARI (Individual) | 2333 CAMINO DEL RIO S STE 40 SAN DIEGO, CA 92108 (619) 574-1810 |
| Non-Participating Provider | NO |
| 1861049736 | GLADVIN MURPHY THYAGARAJ (Individual) | 3780 EL CAJON BLVD SAN DIEGO, CA 92105 (619) 265-2467 |
| Non-Participating Provider | NO |
| 1861150161 | KAMIL AND ARIANNEJAD DENTAL CORPORATION (Organization) | 9870 CARROLL CANYON ROAD SUITE 115 SAN DIEGO, CA 92131 (619) 704-2508 | Non-Participating Provider | NO | |
| 1861164105 | LEVI MARTIN POWELL (Individual) | 7440 BEAGLE ST SAN DIEGO, CA 92111 (858) 384-2083 | Non-Participating Provider | NO | |
| 1861278327 | LOVEBITES DENTAL INC. (Organization) | 11858 BERNARDO PLAZA CT STE 270 SAN DIEGO, CA 92128 (858) 255-9689 | Non-Participating Provider | NO | |
| 1861407462 | ADINA MANOLESCU (Individual) | 6529 MISSION GORGE RD SAN DIEGO, CA 92120 (619) 283-3161 |
| Non-Participating Provider | YES |
| 1861414955 | REBECCA T HIGGINS (Individual) | 12125 ALTA CARMEL CT SUITE 330 SAN DIEGO, CA 92128 (858) 451-0908 | Non-Participating Provider | NO | |
| 1861452641 | L R EVERSOLE A DENTAL CORPORATION ORAL PATHOLOGY DIAGNOSTIC SERVICES (Organization) | 9292 CHESAPEAKE DR STE 100 SAN DIEGO, CA 92123 (858) 492-9500 | Non-Participating Provider | NO | |
| 1861523482 | PAULINE PHUONG TRAN (Individual) | 4060 FAIRMOUNT AVE SAN DIEGO, CA 92105 (619) 280-4213 |
| Non-Participating Provider | NO |
| 1861527681 | NEWMAN SOTO DENTAL GROUP (Organization) | 3065 CLAIREMONT DR STE C SAN DIEGO, CA 92117 (619) 275-2626 | Non-Participating Provider | NO | |
| 1861530461 | ROBERT A. CAMHI (Individual) | 11968 BERNARDO PLAZA DR SAN DIEGO, CA 92128 (858) 521-0000 |
| Opted out of Medicare | YES |
| 1861531741 | SETH THOMAS WILLIAMS (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-6400 |
| Non-Participating Provider | NO |
| 1861543688 | JENNIFER T CARUSO (Individual) | 11279 CAMINO RUIZ SAN DIEGO, CA 92126 (858) 566-5650 |
| Non-Participating Provider | YES |
| 1861557514 | JAMES P. WITCHER (Individual) | 2152 KURTZ ST SAN DIEGO, CA 92110 (619) 849-8658 | Non-Participating Provider | NO | |
| 1861569543 | CHRISTY D LAM (Individual) | 11616 IBERIA PLACE SAN DIEGO, CA 92128 (858) 676-5000 |
| Non-Participating Provider | NO |
| 1861592099 | GEORGE PANAGIS COPOULOS (Individual) | 4241 BALBOA AVE SAN DIEGO, CA 92117 (858) 273-1580 | Non-Participating Provider | NO | |
| 1861632234 | MARILUCI C BYRNES (Individual) | 1270 24TH ST SAN DIEGO, CA 92102 (619) 234-8131 | Non-Participating Provider | NO | |
| 1861644932 | MATTHEW QUILLEN (Individual) | 221 ISLAND AVE SAN DIEGO, CA 92101 (646) 510-0345 | Non-Participating Provider | NO | |
| 1861656274 | ROGER HENRY TUBBESING (Individual) | 233 A ST SUITE 701 SAN DIEGO, CA 92101 (619) 232-3774 | Non-Participating Provider | NO | |
| 1861691610 | LOPP AND RYGG DENTAL CORPORATION BERNARDO HEIGHTS DENTAL GROUP (Organization) | 15731 BERNARDO HEIGHTS PKWY SUITE 101 SAN DIEGO, CA 92128 (858) 674-6813 | Non-Participating Provider | NO | |
| 1861694838 | ROXANA MASHOON (Individual) | 3078 UNIVERSITY AVE SAN DIEGO, CA 92104 (619) 295-8891 | Non-Participating Provider | YES | |
| 1861756553 | WENDY YANG (Individual) | 12650 SABRE SPRINGS PKWY STE 205 SAN DIEGO, CA 92128 (858) 888-9298 |
| Non-Participating Provider | NO |
| 1861833998 | DR.KERI,A PROFESSIONAL CORPORATION (Organization) | 11943 EL CAMINO REAL STE 200 SAN DIEGO, CA 92130 (619) 216-7336 | Non-Participating Provider | NO | |
| 1861906307 | ARMAN MAJIDI (Individual) | 718 W WASHINGTON ST SAN DIEGO, CA 92103 (619) 699-9008 |
| Non-Participating Provider | YES |
| 1861978280 | PETER GARCIA (Individual) | NAVAL MEDICAL CENTER SAN DIEGO SAN DIEGO, CA 92134 (619) 532-6684 | Non-Participating Provider | NO | |
| 1861983090 | TOMA, PETROS & EVANS DDS INC. (Organization) | 1901 4TH AVE STE 300 SAN DIEGO, CA 92101 (619) 236-7959 | Non-Participating Provider | NO | |
| 1861992323 | HOSS/KERI CMV DENTAL GROUP, A PROFESSIONAL CORPORATION THE SUPER DENTISTS (Organization) | 11943 EL CAMINO REAL STE 200 SAN DIEGO, CA 92130 (619) 636-2665 | Non-Participating Provider | NO | |
| 1871071795 | FEDOR DENTAL CORPORATION SERRA MESA MODERN DENTISTRY DENTAL GROUP (Organization) | 3268 GREYLING DR SAN DIEGO, CA 92123 (858) 617-0620 | Non-Participating Provider | NO | |
| 1871127456 | SANDHYA RAMANUJAM (Individual) | 16466 BERNARDO CENTER DR STE 185 SAN DIEGO, CA 92128 (858) 757-3503 |
| Non-Participating Provider | NO |
| 1871192112 | BAROUIR DEIRMENJIAN DENTAL CORPORATION (Organization) | 3820 CONVOY ST SAN DIEGO, CA 92111 (858) 569-1100 | Non-Participating Provider | NO | |
| 1871369132 | MARIE JOY REYES LAZARO (Individual) | 4060 FAIRMOUNT AVE SAN DIEGO, CA 92105 (619) 280-4213 | Non-Participating Provider | NO | |
| 1871506360 | ENGELLA SAMAR MANSOUR (Individual) | 1324 GARNET AVE SAN DIEGO, CA 92109 (619) 275-2750 |
| Non-Participating Provider | NO |
| 1871526764 | GERALD D. HORNER (Individual) | 10668 HUNTERS GLEN DR SAN DIEGO, CA 92130 (619) 905-4289 |
| Non-Participating Provider | NO |
| 1871587188 | TIMOTHY BRYAN NEWSOM (Individual) | 2495 MITSCHER WAY SAN DIEGO, CA 92145 (858) 577-1825 | Non-Participating Provider | NO | |
| 1871616359 | PAUL VICTOR KOEPKE (Individual) | 4926 LA CUENTA DR STE 100 SAN DIEGO, CA 92124 (858) 279-7680 |
| Non-Participating Provider | NO |
| 1871672956 | BRIDGET M HURST (Individual) | 4690 GENESEE AVE SAN DIEGO, CA 92117 (858) 560-9696 | Non-Participating Provider | NO | |
| 1871687152 | MORDECAI SHALOM LIGHTMAN (Individual) | 6244 EL CAJON BLVD #14 SAN DIEGO, CA 92115 (619) 583-6791 |
| Non-Participating Provider | NO |
| 1871690776 | GARRETT MICHAEL GUESS (Individual) | 8929 UNIVERSITY CENTER LN SUITE 209 SAN DIEGO, CA 92122 (858) 558-0222 | Non-Participating Provider | NO | |
| 1871745786 | SARA NAZCO (Individual) | 9325 SKY PARK CT STE 100 SAN DIEGO, CA 92123 (855) 436-1234 |
| Non-Participating Provider | YES |
| 1871752931 | RONALD A AANERUD (Individual) | 16766 BERNARDO CTR DR SUITE 100A SAN DIEGO, CA 92128 (858) 485-6781 | Non-Participating Provider | NO | |
| 1871798843 | KAZUHIRO KATO DDS A DENTAL CORP (Organization) | 3707 CONVOY STREET SAN DIEGO, CA 92111 (858) 565-1679 | Non-Participating Provider | NO | |
| 1871799767 | D.DOUGLAS CASSAT, DDS.APC (Organization) | 10789 TIERRASANTA BLVD SUITE 110 SAN DIEGO, CA 92124 (858) 565-0212 |
| Non-Participating Provider | NO |
| 1871809269 | OLGA ALVARADO (Individual) | 4640 CASS ST UNIT 9720 SAN DIEGO, CA 92109 (845) 480-2760 |
| Non-Participating Provider | NO |
| 1871954131 | LAURA HUNT (Individual) | 5627 OBERLIN DR STE 100 SAN DIEGO, CA 92121 (858) 455-9171 |
| Non-Participating Provider | NO |
| 1871985291 | KARINA SCALERCIO (Individual) | 4080 30TH ST SAN DIEGO, CA 92104 (619) 283-6381 |
| Non-Participating Provider | NO |
| 1881012466 | ANDREW CHAN & LINDA CHAN, DDS, INC. C & C SMILE SOLUTIONS (Organization) | 9750 MIRAMAR RD STE 320 SAN DIEGO, CA 92126 (858) 527-0365 | Non-Participating Provider | NO | |
| 1881032175 | IAN RICHARD MURRAY (Individual) | 6902 NAVAJO RD SAN DIEGO, CA 92119 (619) 582-9700 | Non-Participating Provider | NO | |
| 1881049179 | SASCHA EALIA ZANDEVAKILI (Individual) | 4125 SORRENTO VALLEY BLVD STE D SAN DIEGO, CA 92121 (858) 997-2701 |
| Non-Participating Provider | YES |
| 1881179653 | ALEXIA PACHECO SOLANO (Organization) | 1041 MARKET ST STE 165 SAN DIEGO, CA 92101 (619) 488-3200 | Non-Participating Provider | NO | |
| 1881248730 | SUCHIT KAPUR (Individual) | 12750 CARMEL COUNTRY RD STE 205 SAN DIEGO, CA 92130 (858) 481-1148 |
| Non-Participating Provider | NO |
| 1881329639 | DANNY SALEM MATTY (Individual) | 5965 VILLAGE WAY STE E206 SAN DIEGO, CA 92130 (858) 900-3541 |
| Non-Participating Provider | NO |
| 1881377588 | STEVEN DE WEN JIANG (Individual) | 9840 CARMEL MOUNTAIN RD SAN DIEGO, CA 92129 (858) 240-9953 |
| Non-Participating Provider | YES |
| 1881383891 | MAGGIE N GUAN (Individual) | 6101 MISSION GORGE RD SAN DIEGO, CA 92120 (619) 272-2271 |
| Non-Participating Provider | YES |
| 1881424554 | TRAVIS CHIRMAN (Individual) | 34800 BOB WILSON DR FL 2 SAN DIEGO, CA 92134 (805) 459-8475 | Non-Participating Provider | NO | |
| 1881612919 | GREGORY HOWARD TAYLOR (Individual) | 4082 30TH ST SAN DIEGO, CA 92104 (619) 280-4730 |
| Non-Participating Provider | NO |
| 1881670412 | JEFFREY GERALD ANT (Individual) | 11866 CYPRESS CANYON RD UNIT #2 SAN DIEGO, CA 92131 (858) 603-5491 |
| Non-Participating Provider | NO |
| 1881674471 | RAUL ANDRES GARCA (Individual) | 12750 CARMEL COUNTRY RD SUITE 209 SAN DIEGO, CA 92130 (858) 755-7805 | Non-Participating Provider | NO | |
| 1881687325 | STEVEN D. NYTKO (Individual) | 19871 MITSCHER WAY BDC MIRAMAR - BLDG. 2495, MCAS MIRAMAR SAN DIEGO, CA 92145 (858) 577-1825 |
| Non-Participating Provider | YES |
| 1881717882 | SHARILYN T. MONIZ (Individual) | 3424 1ST AVE SAN DIEGO, CA 92103 (619) 230-5309 |
| Non-Participating Provider | YES |
| 1881762227 | TUYET MAI T NGUYEN (Individual) | 4703 UNIVERSITY AVE SAN DIEGO, CA 92105 (619) 284-7581 | Non-Participating Provider | NO | |
| 1881764389 | JAMES B BERRY (Individual) | 4540 KEARNY VILLA RD STE #116 SAN DIEGO, CA 92123 (858) 571-3534 |
| Non-Participating Provider | YES |
| 1881783967 | ROBERT FREMONT DDS INC (Organization) | 4527 FANUEL STREET SAN DIEGO, CA 92109 (858) 272-2222 | Non-Participating Provider | NO | |
| 1881789113 | TIN MAUNG MAUNG (Individual) | 1540 FERN ST SAN DIEGO, CA 92102 (619) 236-9549 |
| Non-Participating Provider | NO |
| 1881816221 | MICHAEL D CARTER (Individual) | 3737 MORAGA AVENUE SUITE B220 SAN DIEGO, CA 92117 (858) 483-3636 |
| Non-Participating Provider | NO |
| 1881972867 | ERIK DAVID ANDERSON (Individual) | COMNAVSURFPAC 2841 RENDOVA RD SAN DIEGO, CA 92155 (619) 437-2860 | Non-Participating Provider | NO | |
| 1891002317 | THOMAS BANNING SCARFE (Individual) | 11777 BERNARDO PLAZA CT SUITE 101 SAN DIEGO, CA 92128 (858) 376-1440 |
| Non-Participating Provider | NO |
| 1891053781 | RALPH L. RAYA DDS, A PROFESSIONAL DENTAL CORPORATION (Organization) | 10715 TIERRASANTA BLVD SUITE C SAN DIEGO, CA 92124 (858) 278-6444 | Non-Participating Provider | NO | |
| 1891075180 | RAMYA BALA SUBRAMANIAN (Individual) | 10299 SCRIPPS TRL STE F SAN DIEGO, CA 92131 (858) 578-0277 |
| Opted out of Medicare | NO |
| 1891103321 | MATTHEW E SIMON (Individual) | 34800 BOB WILSON DR STE 200 SAN DIEGO, CA 92134 (619) 556-8240 | Non-Participating Provider | NO | |
| 1891128245 | MANU SHARMA (Individual) | 11145 CAMINO RUIZ APT:34 SAN DIEGO, CA 92126 (619) 456-7504 |
| Non-Participating Provider | YES |
| 1891162376 | JOHN BRANDON PIERCE (Individual) | 13161 BLACK MOUNTAIN RD 5 SAN DIEGO, CA 92129 (858) 484-3300 |
| Non-Participating Provider | NO |
| 1891179438 | MARY AFZALI,DDS, INC R.B. FAMILY & COSMETIC DENTISTRY (Organization) | 16776 BERNARDO CENTER DR STE 105 SAN DIEGO, CA 92128 (858) 485-0044 | Non-Participating Provider | NO | |
| 1891599858 | MAKADIA DENTAL CORPORATION (Organization) | 2333 CAMINO DEL RIO S STE 200 SAN DIEGO, CA 92108 (858) 868-5501 | Non-Participating Provider | NO | |
| 1891827184 | BRYAN H NGHIEM (Individual) | 4305 UNIVERSITY AVE SUITE 150 SAN DIEGO, CA 92105 (619) 285-8135 |
| Non-Participating Provider | NO |
| 1891831517 | TONY G CHAMMAS (Individual) | 7910 FROST ST STE 160 SAN DIEGO, CA 92123 (858) 576-2040 | Non-Participating Provider | NO | |
| 1891834578 | ANA AVALOS (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8243 |
| Non-Participating Provider | NO |
| 1891834941 | MITRA JAVIDAN MAZDYASNI (Individual) | 9420 MIRA MESA BLVD STE G SAN DIEGO, CA 92126 (858) 271-0600 |
| Non-Participating Provider | NO |
| 1891858403 | MICHAEL D CRAWFORD DDS INC MURPHY CANYON DENTAL GROUP (Organization) | 5250 MURPHY CANYON ROAD #122 SAN DIEGO, CA 92123 (858) 268-8112 | Non-Participating Provider | NO | |
| 1891882619 | RODNEY MELLOR (Individual) | 1943 CABLE ST SAN DIEGO, CA 92107 (619) 223-3056 | Non-Participating Provider | NO | |
| 1891887501 | FRANK L PAVEL (Individual) | 306 WALNUT AVE STE 26 SAN DIEGO, CA 92103 (619) 299-3320 | Non-Participating Provider | YES | |
| 1891948519 | JAMES MANUEL RODRIGUEZ (Individual) | 11120 E OCEAN AIR DR B105 SAN DIEGO, CA 92130 (858) 792-7823 |
| Non-Participating Provider | NO |
| 1891950937 | WILLIAM A WALKER (Individual) | 2615 CLAIREMONT DR SAN DIEGO, CA 92117 (619) 276-5526 |
| Non-Participating Provider | NO |
| 1891959912 | DAVID RENS, DDS AND ANN MARIE ZIMERMAN, DDS APC (Organization) | 4103 3RD AVE STE A SAN DIEGO, CA 92103 (619) 299-3200 | Non-Participating Provider | NO | |
| 1891966008 | EDWARD WILLIAM JERGE (Individual) | 3762 CLAIREMONT DR SAN DIEGO, CA 92117 (858) 270-2760 | Non-Participating Provider | NO | |
| 1902016884 | RB WESTWOOD DENTAL CARE EVELYN G LAGDA DMD, INC. (Organization) | 11645 DUENDA RD SAN DIEGO, CA 92127 (858) 487-8177 | Non-Participating Provider | NO | |
| 1902025976 | ROYA NIAKIANI (Individual) | 1111 6TH AVE STE 102 SAN DIEGO, CA 92101 (619) 702-7113 |
| Non-Participating Provider | NO |
| 1902080179 | JOSEPH R CAVE DDS (Organization) | 4065 3RD AVE STE 300 SAN DIEGO, CA 92103 (619) 298-2291 |
| Non-Participating Provider | NO |
| 1902140924 | JOANNE COPPS DDS DENTAL CORPORATION GOVERNOR DENTAL (Organization) | 4001 GOVERNOR DR SAN DIEGO, CA 92122 (858) 997-7390 | Non-Participating Provider | NO | |
| 1902154057 | LYNNE ANN MARCH (Individual) | 4685 VISTA ST SAN DIEGO, CA 92116 (619) 285-1200 | Opted out of Medicare | YES | |
| 1902212087 | SAMANTHA CHANG (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8239 | Non-Participating Provider | NO | |
| 1902212517 | JOSEPH SNIDER (Individual) | 926 HORNBLEND ST SAN DIEGO, CA 92109 (858) 273-7900 |
| Non-Participating Provider | NO |
| 1902234537 | SOPHYA NADYA MORGHEM DMD MS (Organization) | 1910 STATE ST UNIT 104 SAN DIEGO, CA 92101 (954) 699-7976 | Non-Participating Provider | NO | |
| 1902301021 | KYLE SHIH-KAE LIN (Individual) | 9870 HIBERT ST STE D12 SAN DIEGO, CA 92131 (858) 566-3688 |
| Non-Participating Provider | YES |
| 1902351836 | KEVIN S. LIN (Individual) | 9870 HIBERT ST STE D12 SAN DIEGO, CA 92131 (858) 566-3688 |
| Non-Participating Provider | NO |
| 1902367485 | ROBERT JONATHAN MASUDA FREY (Individual) | 8989 RIO SAN DIEGO DR STE 170 SAN DIEGO, CA 92108 (619) 280-9100 | Non-Participating Provider | NO | |
| 1902419468 | SHAWYAN YAZDANMEHR (Individual) | 3330 3RD AVE STE 200 SAN DIEGO, CA 92103 (619) 285-0950 |
| Non-Participating Provider | NO |
| 1902458680 | REBECCA EL-KHOURY (Individual) | 8031 LINDA VISTA RD STE 210 SAN DIEGO, CA 92111 (619) 916-3110 |
| Non-Participating Provider | NO |
| 1902568215 | JESSICA ROEBER, DDS (Organization) | 6235 LUSK BLVD SAN DIEGO, CA 92121 (970) 210-5315 | Non-Participating Provider | NO | |
| 1902578206 | IREN MKRTYCHYAN (Individual) | 3268 GREYLING DR SAN DIEGO, CA 92123 (858) 617-0620 |
| Non-Participating Provider | NO |
| 1902631609 | HOANGANH HUYNH (Individual) | 9225 MIRA MESA BLVD STE 103 SAN DIEGO, CA 92126 (858) 566-7645 | Non-Participating Provider | NO | |
| 1902919269 | SIDNEY L. SPECTOR, DDS, PROF. CORP, (Organization) | 9855 ERMA RD STE 110 SAN DIEGO, CA 92131 (858) 578-2205 | Non-Participating Provider | NO | |
| 1902935331 | NAJWA ABUSEIF BARAKAT (Individual) | 7061 CLAIREMONT MESA BLVD STE 220 SAN DIEGO, CA 92111 (858) 514-8223 |
| Non-Participating Provider | YES |
| 1902951056 | ALLEN GLEN DAVIS (Individual) | 9420 MIRA MESA BLVD STE J SAN DIEGO, CA 92126 (858) 578-5002 |
| Non-Participating Provider | NO |
| 1902967383 | TOMA & PETROS DDS INC (Organization) | 3530 CAMINO DEL RIO NORTH SUITE 109 SAN DIEGO, CA 92108 (619) 283-2093 | Non-Participating Provider | NO | |
| 1912016536 | FEN-HUI CHEN (Individual) | 4510 EXECUTIVE DR SUITE 101 SAN DIEGO, CA 92121 (858) 459-5445 | Non-Participating Provider | NO | |
| 1912064551 | DAVID C BOWMAN (Individual) | 306 WALNUT AVE SUITE #29 SAN DIEGO, CA 92103 (619) 298-7115 |
| Non-Participating Provider | NO |
| 1912074691 | LORI CORRINE GOOD (Individual) | 11616 IBERIA PLACE SAN DIEGO, CA 92128 (858) 676-5000 |
| Non-Participating Provider | NO |
| 1912088212 | RANDY LEE WOLFF (Individual) | 3737 MORAGA AVE SUITE A-302 SAN DIEGO, CA 92117 (858) 273-1133 |
| Non-Participating Provider | NO |
| 1912144478 | DONALD G SABA (Individual) | 2464 MARILOUISE WAY SAN DIEGO, CA 92103 (619) 291-5229 | Non-Participating Provider | NO | |
| 1912159880 | IAN MARTIN VALE CRUZ (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 524-4487 | Non-Participating Provider | NO | |
| 1912164062 | GRANT BENSON MCGANN (Individual) | 7910 FROST ST #310 SAN DIEGO, CA 92123 (858) 874-8181 |
| Opted out of Medicare | YES |
| 1912172719 | T3 MANAGMENT TAHMASEBI DENTAL GROUP (Organization) | 6280 JACKSON DR STE 2 SAN DIEGO, CA 92119 (619) 667-3330 | Non-Participating Provider | NO | |
| 1912203886 | KRISTINE N. TRAN, DDS, INC. (Organization) | 9009 MIRA MESA BLVD SAN DIEGO, CA 92126 (858) 530-2898 | Non-Participating Provider | NO | |
| 1912210113 | DIXON DENTAL SERVICES INC. KENSINGTON PEDIATRIC DENTISTRY (Organization) | 4072 ADAMS AVE SAN DIEGO, CA 92116 (619) 282-7337 |
| Non-Participating Provider | NO |
| 1912269945 | KENNIE KWOK (Individual) | 4060 4TH AVE SUITE 303 SAN DIEGO, CA 92103 (619) 543-0905 |
| Opted out of Medicare | YES |
| 1912511056 | SHERVIN MOSHASHAEI (Individual) | 9878 HIBERT ST STE 105 SAN DIEGO, CA 92131 (858) 779-3111 |
| Non-Participating Provider | NO |
| 1912898842 | JOSHUA ALLEN DDS INC (Organization) | 3298 GOVERNOR DR UNIT 22759 SAN DIEGO, CA 92192 (480) 518-0531 | Non-Participating Provider | NO | |
| 1912920745 | CHARLES CLAYTON PHILLIPS (Individual) | 12395 EL CAMINO REAL STE 304 SAN DIEGO, CA 92130 (858) 793-3393 | Non-Participating Provider | NO | |
| 1922024934 | JEROME A BANNISTER (Individual) | 4370 PALM AVE SUITE C SAN DIEGO, CA 92154 (619) 428-8682 |
| Non-Participating Provider | NO |
| 1922043892 | RALPH LUNA RAYA (Individual) | 10715 TIERRASANTA BLVD STE C SAN DIEGO, CA 92124 (858) 278-6444 |
| Non-Participating Provider | YES |
| 1922097898 | GLENN CASEY ASHMORE (Individual) | 4110 W POINT LOMA BLVD SAN DIEGO, CA 92110 (619) 701-6622 |
| Non-Participating Provider | NO |
| 1922109552 | JAMES DOUGLAS DICKINSON (Individual) | 11777 BERNARDO PLAZA CT SUITE 102 SAN DIEGO, CA 92128 (858) 487-7766 | Non-Participating Provider | NO | |
| 1922134246 | CHIEN'S FAMILY DENTISTRY (Organization) | 7380 CLAIREMONT MESA BLVD SUITE 100 SAN DIEGO, CA 92111 (858) 715-8080 | Non-Participating Provider | NO | |
| 1922157288 | EDUARDO DIAZ (Individual) | 3638 EL CAJON BLVD SAN DIEGO, CA 92104 (619) 220-0548 |
| Non-Participating Provider | NO |
| 1922160050 | JENNIFER TRANG XA (Individual) | 9225 MIRA MESA BLVD STE 103 SAN DIEGO, CA 92126 (858) 566-7645 | Non-Participating Provider | YES | |
| 1922170612 | DUNG LY NGUYEN, DDS, INC (Organization) | 4310 EUCLID AVE STE A SAN DIEGO, CA 92115 (619) 281-6777 | Non-Participating Provider | NO | |
| 1922196757 | RAQUEL R REYES (Individual) | 8590 RIO SAN DIEGO DR STE 110 SAN DIEGO, CA 92108 (619) 299-1122 |
| Opted out of Medicare | YES |
| 1922197128 | KEVIN W BARNHART (Individual) | 12395 EL CAMINO REAL SUITE 304 SAN DIEGO, CA 92130 (858) 793-3393 | Non-Participating Provider | NO | |
| 1922256908 | DANIEL AARON FREDRICKSON (Individual) | 34800 BOB WILSON DR NMCSD SAN DIEGO, CA 92134 (503) 467-8895 |
| Non-Participating Provider | NO |
| 1922275254 | GREGORY PHILIP ALLEN (Individual) | 3535 LEBON DR APT 3310 SAN DIEGO, CA 92122 (810) 223-6382 |
| Non-Participating Provider | YES |
| 1922276765 | THOMAS L RODERICK DDS (Organization) | 2333 CAMINO DEL RIO SOUTH #140 SAN DIEGO, CA 92108 (619) 574-1810 |
| Non-Participating Provider | NO |
| 1922288752 | NAHID SABATI (Individual) | 480 ALTA RD SAN DIEGO, CA 92179 (619) 661-6500 | Non-Participating Provider | NO | |
| 1922302553 | TIMOTHY N COLLINS (Individual) | 3808 FRONT ST SAN DIEGO, CA 92103 (619) 295-2202 | Non-Participating Provider | NO | |
| 1922588615 | HANNAH CLARESA KESSLER (Individual) | NAVAL MEDICAL CTR 34800 BOB WILSON DRIVE SAN DIEGO, CA 92134 (619) 532-6400 |
| Non-Participating Provider | NO |
| 1922655000 | MONICA HAEWON LEE (Individual) | 43000 MIDWAY AVE BLDG 595 SAN DIEGO, CA 92140 (678) 451-8513 | Non-Participating Provider | NO | |
| 1922721224 | PATRICIA FESKE (Individual) | 6929 PARK MESA WAY UNIT 123 SAN DIEGO, CA 92111 (760) 944-0453 |
| Non-Participating Provider | NO |
| 1922748755 | I ZAK DDS PROF DENTAL CORP (Organization) | 5625 RUFFIN RD STE 200 SAN DIEGO, CA 92123 (858) 569-9651 | Non-Participating Provider | NO | |
| 1922786359 | CHRISTIAN GARLICK (Individual) | 34800 BOB WILSON DR SAN DIEGO, CA 92134 (619) 532-8600 | Non-Participating Provider | NO | |
| 1932135357 | JOYCE LYNN AWRAMIK (Individual) | 3350 LA JOLLA VILLAGE DR SAN DIEGO, CA 92161 (858) 552-7525 | Non-Participating Provider | NO | |
| 1932142999 | ALAN KEITH NEWMAN (Individual) | 1050 ISLAND AVENUE UNIT 702 SAN DIEGO, CA 92101 (714) 475-8608 |
| Non-Participating Provider | YES |
| 1932157914 | VIVIAN ONG SZETO (Individual) | 9663 TIERRA GRANDE ST SUITE 105 SAN DIEGO, CA 92126 (858) 586-1500 | Non-Participating Provider | NO | |
| 1932176054 | JOE MARVIN DUGGER (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-6534 | Non-Participating Provider | NO | |
| 1932200342 | KRISTIAN ELI CABUGAO (Individual) | 10645 TIERRASANTA BLVD SUITE B SAN DIEGO, CA 92124 (858) 277-6080 | Non-Participating Provider | NO | |
| 1932259561 | JAMES DAVID SPALENKA (Individual) | 16766 BERNARDO CENTER DR STE 105 SAN DIEGO, CA 92128 (858) 487-9444 |
| Non-Participating Provider | YES |
| 1932276607 | CHRISTOPHER JOHN EITZEN (Individual) | 11616 IBERIA PLACE SAN DIEGO, CA 92128 (858) 676-5000 | Non-Participating Provider | NO | |
| 1932352796 | DANIEL S WITCHER (Individual) | 4747 ORTEN ST SAN DIEGO, CA 92110 (805) 407-6949 |
| Non-Participating Provider | YES |
| 1932356573 | YUNG SHIN KIM (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8240 | Non-Participating Provider | NO | |
| 1932442332 | MARK R MEDINA (Individual) | 9955 CARMEL MOUNTAIN RD STE 4 SAN DIEGO, CA 92129 (858) 484-3100 | Non-Participating Provider | NO | |
| 1932501640 | K KOHANI D D S A PROFESSIONAL CORPORATION COSTA VERDE DENTISTRY & ORTHODONIC (Organization) | 4510 EXECUTIVE DR SUITE 205 SAN DIEGO, CA 92121 (858) 622-1007 | Non-Participating Provider | NO | |
| 1932528544 | FRANCIS IM (Individual) | 19871 MITSCHER WAY SAN DIEGO, CA 92145 (858) 307-4737 | Non-Participating Provider | NO | |
| 1932591450 | WAYNE HADAWAY (Individual) | 2036 HORNBLEND ST SAN DIEGO, CA 92109 (858) 488-8338 |
| Non-Participating Provider | NO |
| 1932601978 | NASIM SAEEDI DDS, INC. (Organization) | 11777 BERNARDO PLAZA CT STE 102 SAN DIEGO, CA 92128 (858) 487-7766 | Non-Participating Provider | NO | |
| 1932618055 | DREW PEARSON (Individual) | NAVAL MEDICAL CTR 34800 BOB WILSON DRIVE SAN DIEGO, CA 92134 (760) 725-3213 |
| Non-Participating Provider | NO |
| 1932628591 | GEORGE C GEORGAKLIS (Individual) | 4510 EXECUTIVE DR STE 106 SAN DIEGO, CA 92121 (858) 552-1223 | Non-Participating Provider | NO | |
| 1932654779 | N2 PERIODONTICS (Organization) | 3737 MORAGA AVE SUITE A104 SAN DIEGO, CA 92117 (619) 298-8315 |
| Non-Participating Provider | NO |
| 1932752664 | RISHAAD ROHINTON TARAPOREWALLA (Individual) | 5675 BALBOA AVE SAN DIEGO, CA 92111 (858) 268-0110 |
| Non-Participating Provider | NO |
| 1932845385 | HAMMAD AFIF (Individual) | 1809 NATIONAL AVE SAN DIEGO, CA 92113 (619) 515-2300 |
| Non-Participating Provider | YES |
| 1932858537 | BAYHO FAMILY DENTAL (Organization) | 4025 AVATI DR SAN DIEGO, CA 92117 (858) 272-2294 | Non-Participating Provider | NO | |
| 1932860426 | KEVIN M TRAN (Individual) | 11943 EL CAMINO REAL STE 200 SAN DIEGO, CA 92130 (858) 336-8478 |
| Non-Participating Provider | NO |
| 1932924149 | YURIDIA MICHELLE AVALOS (Individual) | 3755 MURPHY CANYON RD STE D SAN DIEGO, CA 92123 (858) 331-1160 | Non-Participating Provider | NO | |
| 1932976404 | JUAN MANUEL MOYA (Individual) | 9737 AERO DR STE 210 SAN DIEGO, CA 92123 (858) 336-8478 |
| Non-Participating Provider | NO |
| 1942056221 | AHMEDO DENTAL INC. (Organization) | 6280 JACKSON DR STE 2 SAN DIEGO, CA 92119 (619) 667-3330 | Non-Participating Provider | NO | |
| 1942086079 | SD DELL DENTAL CORPORATION (Organization) | 6699 ALVARADO RD STE 2202 SAN DIEGO, CA 92120 (619) 287-8870 | Non-Participating Provider | NO | |
| 1942272190 | KEVIN F FLYNN (Individual) | DENTAL DEPARTMENT, NAVAL MEDICAL CENTER, SUITE 206 34800 BOB WILSON DRIVE SAN DIEGO, CA 92134 (619) 532-8600 |
| Non-Participating Provider | NO |
| 1942275599 | SAM J. WESTOCK (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-2555 | Non-Participating Provider | NO | |
| 1942340104 | MIGUEL AGUSTIN GRILLO (Individual) | 12264 EL CAMINO REAL STE 306 SAN DIEGO, CA 92130 (858) 755-9810 | Non-Participating Provider | NO | |
| 1942368956 | JOSEPH DANIEL MOLINARO (Individual) | 2310 CRAVEN ST BLDG 3230 SAN DIEGO, CA 92136 (619) 556-8200 | Non-Participating Provider | NO | |
| 1942371018 | GUY CLIFF SUTTON (Individual) | 5075 RUFFIN RD SUITE C SAN DIEGO, CA 92123 (858) 278-1454 |
| Opted out of Medicare | YES |
| 1942374004 | VAN ALFRED BROLLINI (Individual) | 4118 WEST POINT LOMA BLVD SAN DIEGO, CA 92110 (619) 225-9354 | Non-Participating Provider | NO | |
| 1942384490 | JOHN A. ALBE (Individual) | 2845 NIMITZ BLVD STE A SAN DIEGO, CA 92106 (619) 223-8179 | Non-Participating Provider | NO | |
| 1942392436 | STEPHEN H MUNROE (Individual) | 1000 WEST WASHINGTON STREET SUITE ONE SAN DIEGO, CA 92103 (619) 297-0700 |
| Non-Participating Provider | NO |
| 1942468053 | FEMME LLORICO AMBROSIO (Individual) | 306 WALNUT AVE SUITE 31 SAN DIEGO, CA 92103 (858) 603-6345 |
| Non-Participating Provider | NO |
| 1942480645 | CHRISTINA TSANG (Individual) | 823 GATEWAY CENTER WAY SAN DIEGO, CA 92102 (619) 515-2300 |
| Non-Participating Provider | NO |
| 1942494893 | CORINNE CEKESTE DEVIN (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8240 | Non-Participating Provider | NO | |
| 1942502596 | CARLOS ANTONIO RIVERO (Individual) | 5625 RUFFIN RD STE 200 SAN DIEGO, CA 92123 (858) 569-9651 |
| Non-Participating Provider | YES |
| 1942604277 | PETERSON AND ABE (Organization) | 4076 3RD AVE SUITE 201 SAN DIEGO, CA 92103 (619) 292-2322 | Non-Participating Provider | NO | |
| 1942673496 | DAVEY DENTAL CORPORATION DEL SUR RANCH DENTAL (Organization) | 1640 PASEO DEL SUR SUITE 105 SAN DIEGO, CA 92127 (858) 759-2700 | Non-Participating Provider | NO | |
| 1942756101 | GRANT SIMPSON (Individual) | 2130 4TH AVE SAN DIEGO, CA 92101 (619) 298-9383 |
| Non-Participating Provider | YES |
| 1942787296 | JACOB MICHAEL CONRAD (Individual) | NAVAL MEDICAL CTR SAN DIEGO, CA 92134 (619) 532-8600 | Non-Participating Provider | NO | |
| 1942852439 | LAURA MACHADO DE SOUZA (Individual) | 3900 5TH AVE SAN DIEGO, CA 92103 (619) 810-1864 |
| Non-Participating Provider | NO |
| 1942959416 | YVETTE CARRILLO DDS MS INC (Organization) | 3023 BUNKER HILL ST STE 105 SAN DIEGO, CA 92109 (858) 869-9234 | Non-Participating Provider | NO | |
| 1952020182 | DANH LE DO (Individual) | 38400 BOB WILSON DR SAN DIEGO, CA 92134 (916) 670-0134 | Non-Participating Provider | NO | |
| 1952292930 | POOYA SARRAFZADEH (Individual) | 4142 ADAMS AVE SAN DIEGO, CA 92116 (619) 326-0157 | Non-Participating Provider | NO | |
| 1952320780 | RICHARD ALLEN HARMETZ (Individual) | 8899 UNIVERSITY CENTER LN SUITE 180 SAN DIEGO, CA 92122 (858) 452-3636 | Non-Participating Provider | NO | |
| 1952338618 | ANTHONY H SAVAGE (Individual) | 306 WALNUT AVE SUITE 33 SAN DIEGO, CA 92103 (619) 295-3456 | Non-Participating Provider | NO | |
| 1952402158 | DAVID D. WYNN, D.D.S. A PROFESSIONAL CORPORATION (Organization) | 6495 ALVARADO RD SUITE 102 SAN DIEGO, CA 92120 (619) 287-8870 | Non-Participating Provider | NO | |
| 1952428161 | MINH TAT HOANG (Individual) | 5955 MIRA MESA BLVD BLDG C SUITE E SAN DIEGO, CA 92121 (858) 558-2121 |
| Non-Participating Provider | NO |
| 1952454019 | BERNABE BARR URBANO AMBROSIO (Individual) | 12120 ALTA CARMEL CT SUITE 410C SAN DIEGO, CA 92128 (858) 385-9188 |
| Non-Participating Provider | YES |
| 1952457210 | EUGENE HIMEO KUNITAKE (Individual) | 34800 BOB WILSON DR NMCSD SAN DIEGO, CA 92134 (619) 532-8605 | Non-Participating Provider | NO | |
| 1952494478 | ANTHONY TAI QUANG PHAM (Individual) | 4240 KEARNY MESA RD. SUITE #117 SAN DIEGO, CA 92111 (858) 499-8911 |
| Non-Participating Provider | NO |
| 1952497869 | ANTHONY LOUIS KORBAR (Individual) | 12264 EL CAMINO REAL SUITE 206 SAN DIEGO, CA 92130 (858) 755-4787 |
| Non-Participating Provider | NO |
| 1952498222 | SCOTT A. STROMMER & LESLIE S. STROMMER,DDS,INC. (Organization) | 7510 HAZARD CENTER DR SUITE 203 SAN DIEGO, CA 92108 (619) 280-9100 | Non-Participating Provider | NO | |
| 1952566069 | JOSEPH BOULOS (Individual) | 2180 GARNET AVE SUITE 1-K SAN DIEGO, CA 92109 (858) 270-4904 |
| Non-Participating Provider | YES |
| 1952601627 | TINA S FARIBA (Individual) | 3805 CLAIREMONT DR SUITE 1 SAN DIEGO, CA 92117 (858) 278-8434 | Non-Participating Provider | NO | |
| 1952636177 | MARK S RICHEY (Individual) | 1442 UNIVERSITY AVE SAN DIEGO, CA 92103 (619) 297-6104 |
| Non-Participating Provider | NO |
| 1952644098 | LESTER MACHADO, M.D., D.D.S., INC LESTER MACHADO, M.D., D.D.S. (Organization) | 501 WASHINGTON ST STE 710 SAN DIEGO, CA 92103 (619) 295-6774 | Non-Participating Provider | NO | |
| 1952681298 | ELIZABETH GARNETA PADILLA (Individual) | NMCS BDC 2310 CRAVEN STREET SAN DIEGO, CA 92136 (619) 556-8248 | Non-Participating Provider | NO | |
| 1952771743 | DOWNTOWN SD MODERN DENTISTRY DENTAL GROUP DO AND PHAM DENTAL CORPORATION (Organization) | 435 4TH AVENUE SAN DIEGO, CA 92101 (619) 850-2550 | Non-Participating Provider | NO | |
| 1952771776 | DAVID A LANDAU (Individual) | 2840 5TH AVE 300 SAN DIEGO, CA 92103 (619) 291-4325 | Non-Participating Provider | NO | |
| 1952816118 | HEJAZI DENTAL CORPORATION COLLEGE GROVE DENTISTRY DENTAL GROUP (Organization) | 3408 COLLEGE AVE SAN DIEGO, CA 92115 (619) 363-3881 | Non-Participating Provider | NO | |
| 1952886723 | LUIS ARTURO CRUZ IBANEZ (Organization) | 1041 MARKET ST STE 165 SAN DIEGO, CA 92101 (619) 488-3200 | Non-Participating Provider | NO | |
| 1962103978 | SURYADEEP SINGH MANKATALA (Individual) | 4731 CLAIREMONT DR STE 101 SAN DIEGO, CA 92117 (858) 272-7300 | Non-Participating Provider | NO | |
| 1962236752 | KENZA SCHREIBER (Individual) | 34800 BOB WILSON DR STE 202 SAN DIEGO, CA 92134 (619) 532-8600 | Non-Participating Provider | NO | |
| 1962420596 | JUERGEN LANGENBACH (Individual) | 15717 BERNARDO HEIGHTS PKWY SAN DIEGO, CA 92128 (858) 451-3110 | Non-Participating Provider | YES | |
| 1962610253 | ALBERT G. LEUNG (Individual) | 6565 BALBOA AVE STE. B SAN DIEGO, CA 92111 (858) 279-2122 |
| Non-Participating Provider | NO |
| 1962623793 | SORAYA BOUZIDA (Individual) | 4765 CARMEL MTN RD #209 SAN DIEGO, CA 92130 (858) 481-0080 | Non-Participating Provider | NO | |
| 1962645036 | JOSEPH C HIPPENSTEEL (Individual) | 945 HORNBLEND ST A SAN DIEGO, CA 92109 (858) 270-6755 |
| Non-Participating Provider | NO |
| 1962657171 | DONALD WILSON BROOKS (Individual) | 4655 CASS ST. SUITE 104 SAN DIEGO, CA 92109 (858) 483-3302 | Non-Participating Provider | NO | |
| 1962661652 | RICHARD P MCLAUGHLIN (Individual) | 1831 SUNSET CLIFFS BLVD SAN DIEGO, CA 92107 (619) 225-1611 | Non-Participating Provider | NO | |
| 1962685289 | ANTHONY P. POTENTE, MS, DDS, APC (Organization) | 4065 3RD AVE SUITE 300 SAN DIEGO, CA 92103 (619) 298-2291 | Non-Participating Provider | NO | |
| 1962714766 | QUAN LIU (Individual) | 7506 CHARMANT DR 818 SAN DIEGO, CA 92122 (858) 610-3403 |
| Non-Participating Provider | NO |
| 1962762716 | FINA YVETTE MADRID (Individual) | 4060 FAIRMOUNT AVE SAN DIEGO, CA 92105 (619) 280-4213 |
| Non-Participating Provider | YES |
| 1962960039 | JASMIN ZAKI (Individual) | 662 DENNERY RD STE 103 SAN DIEGO, CA 92154 (888) 700-6623 |
| Non-Participating Provider | NO |
| 1972047538 | BHAWNA GUPTA (Individual) | 7611 FLOWER MEADOW DR SAN DIEGO, CA 92126 (858) 603-0281 |
| Non-Participating Provider | YES |
| 1972053361 | ZAK DDS INC. (Organization) | 7319 CLAIREMONT MESA BLVD SAN DIEGO, CA 92111 (858) 569-9652 | Non-Participating Provider | NO | |
| 1972369288 | CHASE BENNETT PROFESSIONAL DENTAL CORPORATION (Organization) | 5230 CARROLL CANYON RD STE 326 SAN DIEGO, CA 92121 (619) 494-5091 | Non-Participating Provider | NO | |
| 1972575686 | CHARLENE MELISSA AULD (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8252 | Non-Participating Provider | NO | |
| 1972619070 | LIEU THI NGUYEN (Individual) | 5296 UNIVERSITY AVE SUITE I SAN DIEGO, CA 92105 (619) 265-2262 | Non-Participating Provider | NO | |
| 1972628196 | MICHAEL D CRAWFORD (Individual) | 5060 LOGAN AVE SAN DIEGO, CA 92113 (619) 262-0706 |
| Non-Participating Provider | NO |
| 1972645638 | CHIEU L PHAM (Individual) | 12395 EL CAMINO REAL STE 218 SAN DIEGO, CA 92130 (408) 390-7228 |
| Non-Participating Provider | YES |
| 1972671311 | LUC HUYNH (Individual) | 4488 CONVOY ST SUITE G SAN DIEGO, CA 92111 (858) 268-7977 | Non-Participating Provider | NO | |
| 1972675635 | COMMUNITY DENTAL SERVICES SMILECARE DENTAL GROUP (Organization) | 8997 MIRA MESA BLVD SAN DIEGO, CA 92126 (858) 536-5550 | Non-Participating Provider | NO | |
| 1972705036 | YAM GONG GAN (Individual) | 9524 KEARNY VILLA RD SUITE 103 SAN DIEGO, CA 92126 (858) 271-8850 | Non-Participating Provider | NO | |
| 1972705515 | LEE PAUL HEID (Individual) | 5454 EL CAJON BLVD SAN DIEGO, CA 92115 (619) 515-2400 |
| Non-Participating Provider | YES |
| 1972710663 | KAMBIZ KOHANI (Individual) | 4510 EXECUTIVE DRIVE SUITE #205 SAN DIEGO, CA 92121 (858) 622-1007 |
| Non-Participating Provider | NO |
| 1972728517 | MATTHEW SEAN COWMAN (Individual) | 1300 GRAND AVE SUITE E SAN DIEGO, CA 92109 (858) 274-9494 | Non-Participating Provider | NO | |
| 1972746063 | RICARDO JAVIER HERNANDEZ (Individual) | 4460 OLNEY ST SAN DIEGO, CA 92109 (858) 272-6047 |
| Non-Participating Provider | NO |
| 1972773968 | ARLEEN BALLAT CRISOSTOMO-WEEKS (Individual) | 9844 HIBERT ST SUITE G-7 SAN DIEGO, CA 92131 (858) 271-7440 |
| Non-Participating Provider | NO |
| 1972811479 | LINDSAY BANCROFT (Individual) | 3205 COWLEY WAY APT 3 SAN DIEGO, CA 92117 (716) 432-9554 |
| Non-Participating Provider | YES |
| 1972891760 | SAMSON YANG (Individual) | 5527 CLAIREMONT MESA BLVD SAN DIEGO, CA 92117 (858) 467-0503 |
| Non-Participating Provider | NO |
| 1972949246 | KOUROSH A KASHANI (Individual) | 6585 EL CAJON BLVD SAN DIEGO, CA 92115 (619) 265-0072 |
| Non-Participating Provider | YES |
| 1982018909 | HAE RIM RYU (Individual) | 3820 CONVOY ST SAN DIEGO, CA 92111 (206) 832-7702 |
| Non-Participating Provider | YES |
| 1982029583 | CESARIO A ANGELES (Individual) | 13161 BLACK MOUNTAIN RD STE 3 SAN DIEGO, CA 92129 (858) 538-5387 |
| Non-Participating Provider | NO |
| 1982154878 | SHAKIRA MARTIN (Individual) | 12750 CARMEL COUNTRY RD STE 215 SAN DIEGO, CA 92130 (858) 259-1400 | Non-Participating Provider | NO | |
| 1982184024 | PAYAM HOOSHMAND (Individual) | 2195 STATION VILLAGE WAY APT 1215 SAN DIEGO, CA 92108 (520) 300-0645 |
| Non-Participating Provider | NO |
| 1982184800 | ALLISON PAIGE WISNIEWSKI (Individual) | 2948 UNIVERSITY AVE SAN DIEGO, CA 92104 (619) 684-6190 |
| Non-Participating Provider | NO |
| 1982296471 | ALEX KIM DMD, INC (Organization) | 8899 UNIVERSITY CENTER LN STE 180 SAN DIEGO, CA 92122 (858) 452-3636 | Non-Participating Provider | NO | |
| 1982395646 | JONATHAN TAFT GILLE (Individual) | 5638 MISSION CENTER RD STE 107 SAN DIEGO, CA 92108 (619) 220-0159 |
| Non-Participating Provider | YES |
| 1982599742 | KESAR V BHATT (Individual) | 435 4TH AVE SAN DIEGO, CA 92101 (619) 850-2550 | Non-Participating Provider | NO | |
| 1982610101 | MARC P STEINER (Individual) | 15805 BERNARDO CENTER DR STE. 115 SAN DIEGO, CA 92127 (858) 487-1155 | Non-Participating Provider | NO | |
| 1982611810 | HIEN QUANG BUI (Individual) | 6255 LUSK BLVD 250 SAN DIEGO, CA 92121 (858) 658-0691 |
| Non-Participating Provider | NO |
| 1982618153 | JOHN ANTHONY WEISENSEEL (Individual) | 2655 CAMINO DEL RIO N SUITE 150 SAN DIEGO, CA 92108 (619) 282-7088 |
| Non-Participating Provider | NO |
| 1982675963 | VINH NGOC TRAN (Individual) | 4205 FAIRMOUNT AVE SAN DIEGO, CA 92105 (619) 280-4861 |
| Non-Participating Provider | NO |
| 1982681144 | JOHN WATSON BERRIDGE (Individual) | 3277 LOMA RIVIERA DR SAN DIEGO, CA 92110 (619) 808-6417 | Non-Participating Provider | NO | |
| 1982705893 | MARIO N ALBERTI (Individual) | 4520 EXECUTIVE DR SUITE 250 SAN DIEGO, CA 92121 (858) 623-9024 |
| Non-Participating Provider | NO |
| 1982716619 | DENISE R. HANDLER (Individual) | 7914 RONSON RD SUITE A SAN DIEGO, CA 92111 (858) 277-6833 | Non-Participating Provider | NO | |
| 1982763827 | RENATO GLOSFORCE BORTOLUZZI (Individual) | 16471 BERNARDO CENTER DR SUITE 200A SAN DIEGO, CA 92128 (858) 673-9200 |
| Non-Participating Provider | NO |
| 1982781324 | KAMBIZ ARDJMAND (Individual) | 4230 30TH ST SAN DIEGO, CA 92104 (619) 282-1007 |
| Non-Participating Provider | NO |
| 1982874103 | SONNY ARYAN (Individual) | 4501 MISSION BAY DR STE 2E SAN DIEGO, CA 92109 (858) 270-6626 | Non-Participating Provider | NO | |
| 1982883575 | VICKI C PETROPOULOS (Individual) | 1525 4TH AVE SAN DIEGO, CA 92101 (619) 795-1301 |
| Non-Participating Provider | YES |
| 1982903324 | POISET DENTAL CORPORATION (Organization) | 7930 FROST ST SUITE 101 SAN DIEGO, CA 92123 (858) 492-9977 | Non-Participating Provider | NO | |
| 1992117410 | JOHN KURZAWA (Individual) | 2310 CRAVEN ST SAN DIEGO, CA 92136 (619) 556-8239 |
| Non-Participating Provider | NO |
| 1992193726 | RONA BODMAN (Individual) | 4305 UNIVERSITY AVE SAN DIEGO, CA 92105 (619) 501-1235 |
| Maybe Accepts Medicare | YES |
| 1992221659 | MARCUS ANDREW THAYN (Individual) | 43000 MIDWAY AVE BLDG 595 SAN DIEGO, CA 92140 (619) 524-4009 |
| Non-Participating Provider | NO |
| 1992327456 | NINA BUBALO (Individual) | 306 WALNUT AVE STE 24 SAN DIEGO, CA 92103 (619) 232-1005 |
| Non-Participating Provider | NO |
| 1992346597 | DAVID KEITH JACKSON (Individual) | 19871 MITSCHER WAY SAN DIEGO, CA 92145 (858) 577-1825 | Non-Participating Provider | NO | |
| 1992348866 | COLEMAN DENTAL ASSOCIATES CA, A DENTAL CORPORATION CAMPUS SMILES DENTAL (Organization) | 2952 MARKET ST SAN DIEGO, CA 92102 (619) 798-4613 | Non-Participating Provider | NO | |
| 1992366629 | MICHAEL LEE FLEMING (Individual) | 1857 CABLE ST SAN DIEGO, CA 92107 (619) 224-3391 |
| Non-Participating Provider | NO |
| 1992367262 | RONALD DEON LAYTON (Individual) | 3750 CONVOY ST STE 307 SAN DIEGO, CA 92111 (858) 277-4453 |
| Non-Participating Provider | NO |
| 1992398242 | AMANDA MORADA EFFAT (Individual) | 8110 BIRMINGHAM WAY BLDG 282ND SAN DIEGO, CA 92123 (619) 662-4100 |
| Non-Participating Provider | NO |
| 1992398432 | RAGHEED AZEEZ GABRO (Individual) | 4123 UNIVERSITY AVE SAN DIEGO, CA 92105 (619) 684-9432 |
| Non-Participating Provider | YES |
| 1992712731 | JEFFREY S KEENY (Individual) | 1807 ROBINSON AVE #101 SAN DIEGO, CA 92103 (619) 295-1512 | Non-Participating Provider | NO | |
| 1992726467 | JEREMY R. BOLD (Individual) | 16625 DOVE CANYON RD SUITE 103 SAN DIEGO, CA 92127 (858) 674-9999 |
| Non-Participating Provider | NO |
| 1992729883 | EPHRAIM JONATHAN TABORNAL (Individual) | 10850 BAROQUE LN SUITE C SAN DIEGO, CA 92124 (858) 560-8250 |
| Non-Participating Provider | NO |
| 1992730196 | MICHAEL ANTHONY PERRONE (Individual) | 3350 LA JOLLA VILLAGE DR SAN DIEGO, CA 92161 (858) 552-7525 | Non-Participating Provider | NO | |
| 1992798326 | NEVANNA INGEBORG KOICHEFF (Individual) | 452002 MITSCHER WAY BLDG 2495 SAN DIEGO, CA 92145 (619) 754-3223 | Non-Participating Provider | NO | |
| 1992802599 | CHRISTOPHER JOHN CREMER (Individual) | 11279 CAMINO RUIZ SAN DIEGO, CA 92126 (858) 566-5650 | Non-Participating Provider | NO | |
| 1992812721 | EDWARD PRESTON KAENEL (Individual) | 501 WASHINGTON ST. SUITE 704 SAN DIEGO, CA 92103 (619) 688-1001 |
| Non-Participating Provider | NO |
| 1992835235 | JACKLINE ANH-DAO PHAM (Individual) | 4344 CONVOY STREET SUITE S SAN DIEGO, CA 92111 (858) 616-6468 |
| Non-Participating Provider | YES |
| 1992836977 | JOHN FRANCIS KRIZ (Individual) | 43000 MIDWAY AVE SAN DIEGO, CA 92140 (619) 524-4009 | Non-Participating Provider | NO | |
| 1992843692 | CHRISTOPHER J KEMPSTON (Individual) | 1324 GARNET AVE SAN DIEGO, CA 92109 (858) 272-6650 | Non-Participating Provider | NO | |
| 1992846174 | TOM BROWN (Individual) | 6235 LUSK BLVD SAN DIEGO, CA 92121 (858) 558-3636 | Non-Participating Provider | NO | |
| 1992853212 | BRAD W. HUNT (Individual) | 4765 CARMEL MOUNTAIN RD SUITE 204 SAN DIEGO, CA 92130 (858) 259-1168 | Non-Participating Provider | NO | |
| 1992856124 | ARASH QADEER (Individual) | 7625 MESA COLLEGE DR SUITE 100 SAN DIEGO, CA 92111 (858) 514-4290 |
| Non-Participating Provider | NO |
| 1992868400 | NASRIN MOJAVERHOSSEINI (Individual) | 9855 ERMA RD SAN DIEGO, CA 92131 (858) 578-3686 |
| Non-Participating Provider | NO |
| 1992879779 | FRED D BICOY (Individual) | 10175 RANCHO CARMEL DR SUITE 110 SAN DIEGO, CA 92128 (858) 674-1148 | Non-Participating Provider | NO | |
| 1992909683 | EDUARDO GOMEZ (Individual) | 34800 BOB WILSON DR NMCSD SAN DIEGO, CA 92134 (619) 532-8640 |
| Non-Participating Provider | NO |
| 1992922181 | GREGORY M RAY DDS INC OCEANFRONT DENTAL CARE (Organization) | 2305 MORENA BLVD SUITE A SAN DIEGO, CA 92110 (619) 276-2145 | Non-Participating Provider | NO | |
| 1992927032 | MEHRNAZ IRANI (Individual) | 18133 PARVO CT SAN DIEGO, CA 92128 (858) 675-4549 |
| Non-Participating Provider | NO |
| 1992955082 | BLANCA RAMOS (Individual) | 2948 UNIVERSITY AVE SAN DIEGO, CA 92104 (619) 294-4500 |
| Non-Participating Provider | NO |
| 1992970362 | MARK C EVANS (Individual) | 3424 FIRST AVE SAN DIEGO, CA 92103 (858) 220-1552 |
| Non-Participating Provider | NO |
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