Divyana Ramji Baria, DDS
Individual provider Active NPI Dentist · San Jacinto, CA
NPI 1851985014 · NPPES record last updated Feb 26, 2021
Key facts
- NPI
- 1851985014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 106034 (CA)
- Practice address
- 1497 S San Jacinto Ave Ste B
San Jacinto, CA 92583-5114 - Phone
- (951) 487-6444
- Fax
- (951) 487-2647
- NPI assigned
- Feb 26, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ray Ahn, DDS Inc. | Dentist | Current |
Accepting new patients |
| Ramji H Baraiya D D S Inc | Past |
Accepting new patients |
Locations
1497 S San Jacinto Ave
Ste B
San Jacinto, CA 92583
Phone (951) 487-2644
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 106034 | CA | Yes |
Addresses
Primary practice location
1497 S San Jacinto Ave Ste B
San Jacinto, CA 92583-5114
Mailing address
14028 Tuscany CT
Riverside, CA 92508-8748
Other providers in San Jacinto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.