Myra R. Van Hoff, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50839 Issued in CA

Practice address

801 N St
Sanger, CA 93657-3115

Phone

(559) 876-1777

Fax

(559) 876-2763

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maria Lourdes Dimatera DMD

  • General Practice Dentistry
  • Sanger, CA
  • NPI 1699972570
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1144394602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N ST",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936573115",
            "telephone_number": "559-876-1777",
            "fax_number": "559-876-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N ST",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936573115",
            "telephone_number": "559-876-1777",
            "fax_number": "559-876-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HOFF",
        "first_name": "MYRA",
        "middle_name": "R.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL PROVIDER NUMBER",
            "identifier": "D50839",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• United Health Centers of the San Joaquin Valley
• United Health Centers of the San Joaquin Valley
• United Health Centers of the SJV
• Antonio Valdez, PPS, LCSW
• Michael Valenzuela
• Pachilai Vang
• Porkhoua Vang, PPS
• Ying Kelly Vang, PPS
• Samuel Velazco
• Walgreen Co

• General Practice Dentistry in Sanger, CA
• Providers in Sanger, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.