CHATSWORTH FAMILY DENTAL GROUP (NPI# 1003109612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003109612 |
| Entity Type | Organization |
| Organization Name | CHATSWORTH FAMILY DENTAL GROUP |
| Practice Address |
21029 Devonshire St Chatsworth CA 91311-2315 |
| Practice Telephone | 8189986446 |
| Mailing Telephone | 8189986446 |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |
| Authorized Official Name | DR. ALAN RICHARD WOLFSON (OWNER) |
| Authorized Official Telephone | 8189986446 |
| Authorized Official Credential | D,D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
D28675 | CA | Ambulatory Health Care Facilities |
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D27858 | CA | Ambulatory Health Care Facilities |
| Street Address |
21029 DEVONSHIRE ST |
| City | CHATSWORTH |
| State | CA |
| Zip Code | 91311-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720160781 | Alan Richard Wolfson | Dentist | 21029 Devonshire St, Chatsworth, CA 91311-2315 | 2006-10-19 |
| 1740362706 | Michael Anthony D'egidio | Dentist | 21029 Devonshire St, Chatsworth, CA 91311-2315 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493218 | Karin Homehealth Care Inc | Home Health | 20149 Devonshire St Suite 210a, Chatsworth, CA 91311 | 2020-10-08 |
| 1629675038 | Bright Universe Hospice Care Inc | Hospice Care, Community Based | 20149 Devonshire St Suite 210b, Chatsworth, CA 91311 | 2020-10-08 |
| 1609491117 | Remedium Hospice Care, Inc | Hospice Care, Community Based | 22024 Lassen St, Suite 103, Chatsworth, CA 91311 | 2020-06-10 |
| 1558905968 | Better Care and Health | Counselor | 22735 Plummer St, Chatsworth, CA 91311 | 2019-10-30 |
| 1750948758 | Child Care Resource Center, Inc. | Case Management | 20001 Prairie Street, Chatsworth, CA 91311 | 2019-05-24 |
| 1770053001 | Steven Sandoval | Counselor | 2100 Plummer St, Chatsworth, CA 91311 | 2018-11-29 |
| 1215407531 | G Salvador Castillo Dental Corp | Dentist | 2446 Nordhoff St, Chatsworth, CA 91311 | 2018-11-29 |
| 1689141814 | Radiance Recovery Inc. | Clinic/Center | 10522 Desoto Ave, Chatsworth, CA 91311 | 2018-10-25 |
| 1003390667 | Christian Anthony Henningsen | Physical Therapist | 9700 De Soto Avenue, Attn: Dr. Christian Henningsen, Pt, Dpt, Chatsworth, CA 91311 | 2018-09-19 |
| 1346745973 | Joji Chacko | Non-emergency Medical Transport (VAN) | 9672 Laramie Ave, Chatsworth, CA 91311 | 2018-03-26 |
| Find all providers in zip 91311 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821281809 | Edward E Dove, Dds PC | Clinic/Center | 20523 Devonshire St, Chatsworth, CA 91311-3208 | 2007-08-22 |
| 1568900579 | Anoosh Zadfar Dds, Dental Corporation | Clinic/Center | 9929 Topanga Canyon Blvd, Chatsworth, CA 91311-3602 | 2017-02-09 |
| 1891994810 | Loan K. Nguyen Dds Inc | Clinic/Center | 10233 Topanga Canyon Blvd, Chatsworth, CA 91311-2804 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
| City | CHATSWORTH |
| Zip Code | 91311 |
Please comment or provide details below to improve the information on CHATSWORTH FAMILY DENTAL GROUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.