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RANCHO PENASQUITOS DENTAL CENTER
NPI 1417062472
Dentist - General Practice in San Diego, CA

Active since August 20, 2006
9955 CARMEL MOUNTAIN RD STE 4, SAN DIEGO, CA 92129(858) 484-3100(858) 484-8510 Get Directions Write a Review

NPPES record last updated: July 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rancho Penasquitos Dental Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANCHO PENASQUITOS DENTAL CENTER (NPI 1417062472) is a healthcare organization registered as a general practice in San Diego, California and active in the NPI registry since August 2006. The organization lists Thomas J Kerrian, Dentist, as its authorized official.

NPPES Registry Identity

NPI1417062472
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMARK R MEDINA & THOMAS KERRIAN
Location Address9955 CARMEL MOUNTAIN RD STE 4San Diego, CA 92129-2815
Mailing Address9955 Carmel Mountain Rd Ste 4San Diego, CA 92129-2815 · (858) 484-3100 · Fax (858) 484-8510
Phone(858) 484-3100
Fax(858) 484-8510
Organization SubpartNo
Authorized OfficialThomas J KerrianDentist · (858) 484-3100
Enumeration DateAugust 20, 2006
Last NPPES UpdateJuly 17, 2008
✔ NPI 1417062472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CA · 31129✔ Licensed in CA · 25595
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
9955 CARMEL MOUNTAIN RD STE 4, San Diego, CA 92129
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Other Names 1

Doing Business AsRancho Penasquitos Dental Center

Other Identifiers 2

Other25595CA · State Id
Other31129CA · State Id

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS J KERRIAN DMD
Dentist
9955 CARMEL MOUNTAIN RD STE 4
SAN DIEGO, CA 92129
San Diego County (858) 484-3100
DR. MARK R MEDINA DDS
Dentist
9955 CARMEL MOUNTAIN RD STE 4
SAN DIEGO, CA 92129
San Diego County (858) 484-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark R Medina & Thomas Kerrian's NPI number?

The NPI number for Mark R Medina & Thomas Kerrian is 1417062472. It was assigned to this organization in the NPPES registry on August 20, 2006. The provider is doing business as Rancho Penasquitos Dental Center.

Where is Mark R Medina & Thomas Kerrian located?

Mark R Medina & Thomas Kerrian is located at 9955 Carmel Mountain Rd Ste 4, San Diego, CA 92129. The listed phone number is (858) 484-3100.

What is Mark R Medina & Thomas Kerrian's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mark R Medina & Thomas Kerrian was last updated on July 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.