MEDICARE: MONICA GRISEL MACVANE-PEARSON DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DDSS4891	CA
2	1223G0001X	General Practice Dentistry	54891	CA

General Provider Information

NPI Number	:	1265554166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA GRISEL MACVANE-PEARSON DDS

Provider Business Mailing Address
First Line	:	P.O.BOX 22210
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94623-2210
Country	:	US
Telephone Number	:	510-535-4000
Fax Number	:	510-535-4225

Provider Business Practice Location Address
First Line	:	3050 E 16TH ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94601-2319
Country	:	US
Telephone Number	:	510-535-4700
Fax Number	:	510-535-4283

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	08/23/2013

Similar Medicare Providers

1326154360 — LA CLINICA DE LA RAZA INC
Practice Location Address:

3050 E 16TH ST
OAKLAND, CA
94601-2319

Practice Phone: 510-535-4000
Practice Fax: 510-535-4189

1669575783 — NELOFER ANSARI D.D.S.
Practice Location Address:

3050 EAST 16TH ST. , FRUITVALE DENTAL
OAKLAND, CA
94601-2319

Practice Phone: 510-535-4700
Practice Fax: 510-535-4283

1427151547 — MICHAEL LEE DDS
Practice Location Address:

3050 E 16TH ST
OAKLAND, CA
94601-2319

Practice Phone: 510-535-4700
Practice Fax: 510-535-4283

1851469712 — DAVID RUSTAMZADEH DDS, MSD
Practice Location Address:

3050 E. 16TH ST.
OAKLAND, CA
94601-2319

Practice Phone: 510-535-2319
Practice Fax: 510-535-4283

1518170059 — GARRICK SCOTT HONG D.D.S
Practice Location Address:

3050 E. 16TH ST. , FRUITVALE DENTAL
OAKLAND, CA
94601-2319

Practice Phone: 510-535-4700
Practice Fax: 510-535-4283

1356515837 — JENNIFER SOH DDS
Practice Location Address:

3050 E 16TH ST
OAKLAND, CA
94601-2319

Practice Phone: 510-535-4700
Practice Fax: 510-535-4225

Directions to “ MONICA GRISEL MACVANE-PEARSON DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.