Jo-Ann Carol De Jesus Africa, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54133 Issued in CA

Practice address

15165 Seventh St Ste I
Victorville, CA 92395-3816

Phone

(760) 245-7704

Fax

(760) 245-0115

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jo-Ann Carol Eligan De Jesus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jo-Ann Africa DDS Inc

  • General Practice Dentistry
  • Victorville, CA
  • NPI 1033768635
  NPD
• Jo-Ann de Jesus Africa DDS Inc

  • General Practice Dentistry
  • Fontana, CA
  • NPI 1811462369
  NPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1366466716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15691 MONTGOMERY DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361770",
            "telephone_number": "626-377-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15165 SEVENTH ST STE I",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953816",
            "telephone_number": "760-245-7704",
            "fax_number": "760-245-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFRICA",
        "first_name": "JO-ANN CAROL",
        "middle_name": "DE JESUS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JO-ANN CAROL",
            "last_name": "DE JESUS",
            "middle_name": "ELIGAN",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Aero Mobility, Inc.
• Agahospice Inc.
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• Mathew Agbaosi
• Agc Medical Supply Inc.
• Sahil Aggarwal, MD

• General Practice Dentistry in Victorville, CA
• Providers in Victorville, 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 Jan 22, 2014; 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.