ROYA MIRKHAN,DMD,MSD,INC. (NPI# 1003299892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003299892 |
| Entity Type | Organization |
| Organization Name | ROYA MIRKHAN,DMD,MSD,INC. |
| Practice Address |
12395 El Camino Real Suite Number 314 San Diego CA 92130-3082 |
| Mailing Address |
12395 El Camino Real Suite Number 314 San Diego CA 92130 |
| Practice Telephone | 8583376264 |
| Practice Fax Number | 8587556260 |
| Mailing Telephone | 8583376264 |
| Mailing Fax Number | 8587556260 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |
| Authorized Official Name | DR. ROYA NAZILA MIRKHAN (PRESIDENT) |
| Authorized Official Telephone | 8583376264 |
| Authorized Official Credential | DMD,MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
44743 | CA | Dental Providers |
| Y | 122300000X | Dentist | 44743 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTISTRY | 1396866000 | 01 |
| Street Address |
12395 EL CAMINO REAL SUITE NUMBER 314 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-3082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457337313 | Scripps Clinic Medical Group | Clinic/Center | 12395 El Camino Real, Suite 120, San Diego, CA 92130-3082 | 2005-12-21 |
| 1033544408 | Sea Breeze Pediatrics, Apc | Clinic/Center | 12395 El Camino Real, Suite 311, San Diego, CA 92130-3082 | 2013-09-04 |
| 1184922197 | Karen Freeman | Dietitian, Registered | 12395 El Camino Real, Suite 115, San Diego, CA 92130 | 2011-03-01 |
| 1487974101 | San Diego Eye Group, Inc. | Ophthalmology | 12395 El Camino Real, Suite 300, San Diego, CA 92130-3085 | 2010-06-03 |
| 1467778456 | Julia Ann Shrivastava | Family Medicine | 12395 El Camino Real, Suite 120, San Diego, CA 92130-3082 | 2010-04-15 |
| 1568795185 | Markos N Botros | Dentist | 12395 El Camino Real, Suite 101, San Diego, CA 92130-3082 | 2009-09-14 |
| 1417190448 | Jason R. Lupton, M.d., Inc. | Dermatology | 12395 El Camino Real, Suite 207, San Diego, CA 92130-3082 | 2009-04-07 |
| 1649439563 | Christen Marie Benke | Family Medicine | 12395 El Camino Real, Suite 120, San Diego, CA 92130-3083 | 2008-06-05 |
| 1689860108 | Carmel Valley Pediatrics | Pediatrics | 12395 El Camino Real, Suite 315, San Diego, CA 92130-3082 | 2007-09-18 |
| 1871799213 | John Graves Dawkins | Family Medicine | 12395 El Camino Real, #120, San Diego, CA 92130-3082 | 2007-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
| 1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| 1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
| Find all providers in zip 92130 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048409 | Sara Siraj | Dentist | 7720 Tyrolean Rd, San Diego, CA 92126-1029 | 2020-09-22 |
| 1639785306 | Brittany Jordan Noris | Dentist | 5830 Oberlin Dr Ste 201, San Diego, CA 92121-3754 | 2020-09-18 |
| 1437761475 | Pouya Parsa | Dentist | 12275 Carmel Vista Rd Unit 224, San Diego, CA 92130-2536 | 2020-08-20 |
| 1366060808 | Azadeh Khajavi | Dentist | 16516 Bernardo Center Dr Ste 210, San Diego, CA 92128-2551 | 2020-07-10 |
| 1871127456 | Sandhya Ramanujam | Dentist | 16466 Bernardo Center Dr Ste 185, San Diego, CA 92128-2522 | 2020-02-23 |
| 1396396164 | Khanh Nguyen | Dentist | 8605 Andromeda Rd, San Diego, CA 92126-1803 | 2019-09-24 |
| 1770133977 | Jeffrey Leland Elmer | Dentist | 2310 Craven St Unit 3210, San Diego, CA 92136-5596 | 2019-09-19 |
| 1609429273 | Navya Jampala | Dentist | 10891 Creekbridge Pl, San Diego, CA 92128-5108 | 2019-07-22 |
| 1619529229 | Calli Ann Marando | Dentist | 2310 Craven St # 3230, San Diego, CA 92136-5596 | 2019-07-13 |
| 1669024428 | Bolivia Pereira Hurtado | Dentist | 2303 92136, 2309 Doyle St, San Diego, CA 92136-0001 | 2019-07-11 |
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| 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.