Czarinne A Fetalino, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47889 Issued in CA

Practice address

1220 S Diamond Bar Blvd
Suite G
Diamond Bar, CA 91765-4120

Phone

(909) 396-7207

Fax

(909) 396-7242

NPI assigned

Jun 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Czarinne a Fetalino DMD Inc

  • General Practice Dentistry
  • Diamond Bar, CA
  • NPI 1427120815
  NPD (past) Authorized official

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194921890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 S DIAMOND BAR BLVD",
            "address_2": "SUITE G",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654120",
            "telephone_number": "909-396-7207",
            "fax_number": "909-396-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 S DIAMOND BAR BLVD",
            "address_2": "SUITE G",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654120",
            "telephone_number": "909-396-7207",
            "fax_number": "909-396-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETALINO",
        "first_name": "CZARINNE",
        "middle_name": "A",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Extensive Therapy Connection and Solution
• Family Tree Health.Inc (Family Tree Wellness)
• William Fenerty
• Feng and Chen Dental Corporation
• Martina Andrea Fernandez Barrera
• Nicole Dominguez Fidel
• May Fong-Chang, LCSW
• John Fonmin, MD
• Loryann Fradejas, RN
• Stephen M Fuang, DDS, MSD

• General Practice Dentistry in Diamond Bar, CA
• Providers in Diamond Bar, 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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.