ANATOLY VAISAN DDS INC (NPI# 1023166600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023166600 |
| Entity Type | Organization |
| Organization Name | ANATOLY VAISAN DDS INC |
| Practice Address |
11273 Laurel Canyon Blvd Suite#3 San Fernando CA 91340-4300 |
| Practice Telephone | 8183657191 |
| Practice Fax Number | 8183617641 |
| Mailing Telephone | 8183657191 |
| Mailing Fax Number | 8183617641 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2017-10-23 |
| Authorized Official Name | DR. ANATOLY VAISMAN (OWNER/DENTIST) |
| Authorized Official Telephone | 8183657191 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
88476-48 | CA | Ambulatory Health Care Facilities |
| Street Address |
11273 LAUREL CANYON BLVD SUITE#3 |
| City | SAN FERNANDO |
| State | CA |
| Zip Code | 91340-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932162013 | Robert Orlando Flores | Family Medicine | 11273 Laurel Canyon Blvd, Suite 1, San Fernando, CA 91340-4300 | 2006-04-10 |
| 1356702344 | Julia Nektal | Podiatrist | 11273 Laurel Canyon Blvd, Ste 4, San Fernando, CA 91340-4359 | 2016-03-17 |
| 1295162394 | Violeta M Lopez | Physician Assistant | 11273 Laurel Canyon Blvd, San Fernando, CA 91340 | 2013-10-03 |
| 1902119449 | Robert O. Flores, M.d. Inc. | Clinic/Center | 11273 Laurel Canyon Blvd, Suite 1, San Fernando, CA 91340-4300 | 2010-07-26 |
| 1952566820 | Faina Gelman | Dentist | 11273 Laurel Canyon Blvd, #3, San Fernando, CA 91340-4300 | 2008-07-21 |
| 1710172382 | Robert O Flores Md Inc | Family Medicine | 11273 Laurel Canyon Blvd, Suite 1, San Fernando, CA 91340-4300 | 2007-09-07 |
| 1841490620 | Alireza Khosroabadi | Podiatrist | 11273 Laurel Canyon Blvd, Ste 4, San Fernando, CA 91340-4300 | 2007-07-20 |
| 1861547366 | Raya Sauerbrun | Counselor | 11273 Laurel Canyon Blvd, San Fernando, CA 91340-4300 | 2007-01-24 |
| 1619025277 | Anatoly Vaisman | Dentist | 11273 Laurel Canyon Blvd, Suite #3, San Fernando, CA 91340-4300 | 2007-01-08 |
| 1114933074 | Ziva Nagar | Psychologist | 11273 Laurel Canyon Blvd, Suite 3, San Fernando, CA 91340-4300 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844301 | Atalla Dental Corp. | Clinic/Center | 557 N. Maclay Ave., San Fernando, CA 91340 | 2020-02-26 |
| 1235623190 | Kohan & Rodef Dental Corporation | Dentist | 500 San Fernardo Mission Blvd Suite #2, San Fernardo, CA 91340 | 2018-06-14 |
| 1700388766 | North Valley Diagnostics Services, Inc. | Electrodiagnostic Medicine | 670 San Fernando Mission Blvd, #d, San Fernando, CA 91340 | 2018-03-06 |
| 1750889531 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 1204 San Fernando Rd, San Fernando, CA 91340 | 2018-01-26 |
| 1689118598 | Maira Yesenia Lopez | Counselor | 565 S. Brand Blvd, San Fernando, CA 91340 | 2016-12-12 |
| 1386042166 | Afsaneh Mazaheri-sichani | Dentist | 777 Turman St., Suite 107, San Fernando, CA 91340 | 2014-12-11 |
| 1396154167 | Lorena Tercero | Marriage & Family Therapist | 302 S. Brand Blvd, San Fernando, CA 91340 | 2014-08-06 |
| 1689082836 | Germine Aznavour | Pharmacist | 12920 Foothill Blvd, San Fernando, CA 91340 | 2014-07-31 |
| 1841605151 | Aswani Dental Corporation | Clinic/Center | 12940 Foothill Blvd Ste C, San Fernando, CA 91340 | 2014-06-25 |
| 1467705624 | Brenda Lira | Social Worker | 11565 Laurel Canyon Blvd., Suite 116, San Fernando, CA 91340 | 2012-10-24 |
| Find all providers in zip 91340 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063025815 | Nicole Mahanian, D.d.s., Inc. | Clinic/Center | 608 N Maclay Ave, San Fernando, CA 91340-2137 | 2020-08-30 |
| 1043844301 | Atalla Dental Corp. | Clinic/Center | 557 N. Maclay Ave., San Fernando, CA 91340 | 2020-02-26 |
| 1841605151 | Aswani Dental Corporation | Clinic/Center | 12940 Foothill Blvd Ste C, San Fernando, CA 91340 | 2014-06-25 |
| 1417958943 | Northeast Valley Health Corporation | Clinic/Center | 11051 N. O'melveny Ave, San Fernando, CA 91340-4426 | 2005-08-09 |
| 1669798120 | Wael H Obeid Dds Inc | Clinic/Center | 527 N Maclay Ave, San Fernando, CA 91340-2424 | 2010-04-08 |
| 1730367004 | Naffas & Partovi Dental Corp | Clinic/Center | 321 N Maclay Ave, Suite A, San Fernando, CA 91340-2970 | 2008-02-08 |
| 1588862106 | Juan Pablo Falabella, Inc | Clinic/Center | 1701 Truman St, Ste. B, San Fernando, CA 91340-3100 | 2007-07-05 |
| 1235130600 | Northeast Valley Health Corporation | Clinic/Center | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2005-08-09 |
| 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 | SAN FERNANDO |
| Zip Code | 91340 |
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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.