PHYLLIS K. KAWADA, DDS, MS, A PROFESSIONAL CORPORATION (NPI# 1023204682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023204682 |
| Entity Type | Organization |
| Organization Name | PHYLLIS K. KAWADA, DDS, MS, A PROFESSIONAL CORPORATION |
| Other Organization Name | CENTER FOR PEDIATRIC DENTISTRY |
| Practice Address |
2250 W Whittier Blvd Suite 200 La Habra CA 90631-3403 |
| Practice Telephone | 5626903750 |
| Practice Fax Number | 5626903439 |
| Mailing Telephone | 5626903750 |
| Mailing Fax Number | 5626903439 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |
| Authorized Official Name | DR. PHYLLIS KAWADA (PRESIDENT) |
| Authorized Official Telephone | 5626903750 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
49558 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Center for Pediatric Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437633872 | Phyllis K. Kawada, Dds, Ms, A Professional Corporation | Clinic/Center | 731 N Beach Blvd Ste 120, La Habra, CA 90631-3690 | 2018-09-21 |
| 1639653009 | Phyllis K. Kawada, Dds, Ms, A Professional Corporation | Clinic/Center | 15944 Los Serranos Country Club Dr Ste 100, Chino Hills, CA 91709-3254 | 2018-09-20 |
| Street Address |
2250 W WHITTIER BLVD SUITE 200 |
| City | LA HABRA |
| State | CA |
| Zip Code | 90631-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730224775 | Robert Christopher Gire | Dentist | 2250 W Whittier Blvd, Suite 200, La Habra, CA 90631-3403 | 2007-02-20 |
| 1891092086 | Chanchal Dewan, Md.,f.a.a.p.,inc. | Pediatrics | 2250 W Whittier Blvd, Suite 100, La Habra, CA 90631-3470 | 2011-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174163323 | Knowledge of Autism & Other Developmental Disabilities, LLC. | Assistant Behavior Analyst | 890 Whitebook Drive, La Habra, CA 90631 | 2020-01-15 |
| 1215572417 | Anthony Alonzo Favot | Physician Assistant | 2500 Sidon Ave., La Habra, CA 90631 | 2019-11-12 |
| 1487123618 | Adrian Acosta Dds A Prof Dental Corp | Dentist | 901 W. Whittier Blvd, La Habra, CA 90631 | 2018-11-16 |
| 1669961587 | La Habra Villa, LLC | Assisted Living Facility | 1100 E.whittier Blvd, La Habra, CA 90631 | 2018-05-07 |
| 1679089767 | Alicia Igarta | Behavioral Analyst | 890 Whitebook Dr, La Habra, CA 90631 | 2017-12-27 |
| 1609386564 | Antoinette Marie Burgonio | Counselor | 820 Buena Vista Ave, La Habra, CA 90631 | 2017-10-05 |
| 1023527710 | Sharon Rose Stines | Counselor | 271 W. Imperial Hwy, Suite C, La Habra, CA 90631 | 2017-09-25 |
| 1275050999 | Ivan Andro Simunovic | Physician Assistant | 1341 Brookdale Ave., La Habra, CA 90631 | 2017-08-23 |
| 1730609645 | Lorraine Danielle Granado | Specialist/Technologist | 2301 Las Palomas Dr, La Habra Heights, CA 90631 | 2017-06-21 |
| 1649717844 | Marzieh Simonton | Nurse Practitioner | 921 Donnybrook Ave, La Habra, CA 90631 | 2017-01-25 |
| Find all providers in zip 90631 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821561903 | Angela Shaw Dds Inc | Clinic/Center | 1400 Las Palmas Dr Ste 1, La Habra, CA 90631-7582 | 2019-01-10 |
| 1750916698 | E Amin Dmd, Inc. | Clinic/Center | 1030 W Imperial Hwy, La Habra, CA 90631-6901 | 2020-03-11 |
| 1679062541 | Tokatli Dental Group Inc | Clinic/Center | 1875 W La Habra Blvd, La Habra, CA 90631 | 2018-05-07 |
| 1033597604 | Chienho Chen, Dds, Inc. | Clinic/Center | 2448 W Whittier Blvd, La Habra, CA 90631-3407 | 2015-05-14 |
| 1184001141 | Josephine Aguda, Dds, A Dental Corporation | Clinic/Center | 1480 S Harbor Blvd, Suite 7, La Habra, CA 90631-7534 | 2015-04-29 |
| 1265625099 | Jeon Prof. Dental Corporation | Clinic/Center | 116 W La Habra Blvd, La Habra, CA 90631-5402 | 2007-08-24 |
| 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 |
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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.