Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark R Medina & Thomas Kerrian

Organization General Practice Dentistry · NPI 1417062472

Mark R Medina & Thomas Kerrian is a General Practice Dentistry in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

9955 Carmel Mountain Rd Ste 4
San Diego, CA 92129-2815
Phone: (858) 484-3100
Fax: (858) 484-8510
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 31129 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 25595 (CA)

Record details

NPI number1417062472
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Kerrian — Dentist · (858) 484-3100
Other names Rancho Penasquitos Dental Center
NPI enumeratedAugust 20, 2006
Last updated in NPPESJuly 17, 2008
Mailing address9955 Carmel Mountain Rd Ste 4, San Diego, CA 92129-2815

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