OMID BARKHORDAR DENTAL CORPORATION (NPI# 1144676024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144676024 |
| Entity Type | Organization |
| Organization Name | OMID BARKHORDAR DENTAL CORPORATION |
| Practice Address |
101 West Carson Street Carson CA 90745 |
| Practice Telephone | 3105130222 |
| Practice Fax Number | 3105131352 |
| Mailing Telephone | 3105130222 |
| Mailing Fax Number | 3105131352 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | OMID BARKHORDAR (DENTIST) |
| Authorized Official Telephone | 8186241601 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
58536 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Care Dental Center | Doing Business As Name - Organization |
| Street Address |
101 WEST CARSON STREET |
| City | CARSON |
| State | CA |
| Zip Code | 90745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787696 | Michael Yoshio Sujishi | Technician/Technologist | 150 West Carson Street, Store 8839, Carson, CA 90745 | 2019-12-18 |
| 1891269262 | Cesar Carrasco Dds Inc | Dentist | 21847 S Avalon Blvd, Carson, CA 90745 | 2019-01-18 |
| 1427557305 | Stephanie Yunjung Ha | Nurse Practitioner | 23517 S. Main St., Carson, CA 90745 | 2018-02-06 |
| 1861911125 | Maria C Aluning | Dentist | 242 W. Carson St., Carson, CA 90745 | 2017-09-18 |
| 1255720652 | Sandy Mauricio | Physical Therapy Assistant | 1804 E 215th St, Carson, CA 90745 | 2015-01-22 |
| 1275948994 | United Urgent Care and Wellness Center, Inc. | Clinic/Center | 522 West Carson Street, Carson, CA 90745 | 2014-06-23 |
| 1184052805 | Jumana B Hanna | Pharmacist | 500 Carson Town Center Kmart 4987 Pharmacy, Carson, CA 90745 | 2013-10-15 |
| 1679912422 | David J Chon | Dentist | 612 E Carson St #101, Carson, CA 90745 | 2013-06-14 |
| 1942644133 | Seema M Dave | Optometrist | 150 W Carson Street, Cvs Optical, Carson, CA 90745 | 2013-04-18 |
| 1336497908 | American Best Palliative and Hospice Care, Inc. | Hospice Care, Community Based | 22015 S Main St., Suite D, Carson, CA 90745 | 2012-08-29 |
| Find all providers in zip 90745 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861911125 | Maria C Aluning | Dentist | 242 W. Carson St., Carson, CA 90745 | 2017-09-18 |
| 1154780062 | Ganji and Ganji Dental Corporation | Dentist | 20401 Avalon Blvd Ste A, Carson, CA 90746-3226 | 2016-02-19 |
| 1578845277 | Woong Lee | Dentist | 20700 Avalon Blvd Ste 600, Carson, CA 90746-3701 | 2011-09-19 |
| 1871742965 | In Oh | Dentist | 10 Tomahawk Ln, Carson, CA 90745-5665 | 2008-09-12 |
| 1649471897 | Frederick Kam Chuan Si | Dentist | 426 W Carson St, Suite 7, Carson, CA 90745 | 2007-05-29 |
| 1871614818 | Jenifer B Labrador Dds Inc | Dentist | 22211 S Avalon Blvd, Carson, CA 90745 | 2007-04-03 |
| 1013037688 | Jaubin Dinh Nguyen | Dentist | 1754 E Carson St, Carson, CA 90745-2506 | 2007-03-29 |
| 1417088253 | Lezita Topacio Go-reyes | Dentist | 284 E Sepulveda Blvd, Carson, CA 90745-6323 | 2007-03-07 |
| 1598893109 | Carlito Briones Bautista | Dentist | 111 E 220th St, Suite A-b, Carson, CA 90745-3060 | 2007-03-02 |
| 1720120124 | Maria Cecilia Aluning Dds Inc | Dentist | 240 W Carson St, Carson, CA 90745 | 2007-02-13 |
| Find all providers in CARSON | ||||
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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.