WESTERN DENTAL SERVICES, INC. (NPI# 1174795827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174795827 |
| Entity Type | Organization |
| Organization Name | WESTERN DENTAL SERVICES, INC. |
| Practice Address |
11299 San Pablo Ave Suite #a El Cerrito CA 94530-2184 |
| Mailing Address |
530 S Main St Orange CA 92868-4525 |
| Practice Telephone | 5102310147 |
| Practice Fax Number | 5102315813 |
| Mailing Telephone | 7144803000 |
| Mailing Fax Number | 7145713560 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |
| Authorized Official Name | CINDY E. AVALOS (PPO COORDINATOR) |
| Authorized Official Telephone | 7144803000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G92150- | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1215535141 | Western Dental Services, Inc. | Dentist | 16842 Devonshire St, Granada Hills, CA 91344-7404 | 2020-10-13 |
| 1548876162 | Western Dental Services, Inc. | Dentist | 7046 Broadway, Lemon Grove, CA 91945-1406 | 2020-09-18 |
| 1699388561 | Western Dental Services, Inc. | Dentist | 37134 47th St E Ste A&b, Palmdale, CA 93552-4458 | 2020-08-28 |
| 1659914398 | Western Dental Services, Inc. | Dentist | 1575 N. Grand Ave, Santa Ana, CA 92705-8511 | 2019-10-25 |
| 1306489505 | Western Dental Services, Inc. | Dentist | 1153 W Pacheco Blvd, Los Banos, CA 93635-8617 | 2019-10-21 |
| 1487216313 | Western Dental Services, Inc. | Dentist | 434 E Dr Martin Luther King Jr Blvd, Stockton, CA 95206-1435 | 2019-07-01 |
| 1508426677 | Western Dental Services, Inc. | Dentist | 15515 Normandie Ave, Gardena, CA 90247-4013 | 2019-06-19 |
| 1053975862 | Western Dental Services, Inc. | Dentist | 4834 Etiwanda Ave, Ste 200, Jurupa Valley, CA 91752-1828 | 2019-04-26 |
| 1487112322 | Western Dental Services, Inc. | Dentist | 13368 Main St Ste 300, Hesperia, CA 92345-4730 | 2019-03-11 |
| Street Address |
11299 SAN PABLO AVE SUITE #A |
| City | EL CERRITO |
| State | CA |
| Zip Code | 94530-2184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174176598 | Joshua Baek | Dentist | 11299 San Pablo Ave, El Cerrito, CA 94530-2184 | 2019-07-24 |
| 1861968919 | David Chow | Dentist | 11299 San Pablo Ave, El Cerrito, CA 94530-2184 | 2018-10-16 |
| 1679009062 | Mhn Government Services LLC | Clinic/Center | 11299 San Pablo Ave, Suite W, El Cerrito, CA 94530-2184 | 2017-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659034 | Laura Penna Firme | Acupuncturist | 10329 San Pablo Ave, El Cerrito, CA 94530 | 2019-10-01 |
| 1306490941 | Caroline Danielle Storer | Social Worker | 11175 San Pablo Avenue, El Cerrito, CA 94530 | 2019-08-01 |
| 1063987519 | Ellen Sue Friedman | Marriage & Family Therapist | 139 Ashbury Ave., El Cerrito, CA 94530 | 2018-10-11 |
| 1568947653 | Melissa Azzolino | Behavioral Analyst | 320 Ashbury Avenue, El Cerrito, CA 94530 | 2018-09-25 |
| 1427548429 | Seneca Family of Agencies | Community/Behavioral Health | 7150 Portola Drive, El Cerrito, CA 94530 | 2018-05-15 |
| 1619413887 | Georgia B Cardwell | Counselor | 3319 Carlson Blvd, El Cerrito, CA 94530 | 2017-01-12 |
| 1477924959 | Amrit Kaur Khalsa | Registered Nurse | 2218 Lawrence St, El Cerrito, CA 94530 | 2015-10-09 |
| 1003209933 | Leticia Mariana Gonzalez | Nurse Practitioner | Planned Parenthood El Cerrito Health Center, 320 El Cerrito Plaza, El Cerrito, CA 94530 | 2015-03-17 |
| 1740505262 | Planned Parenthood Shasta Diablo Inc | Clinic/Center | 320 El Cerrito Plaza, El Cerrito, CA 94530 | 2010-03-29 |
| 1770705444 | John D. Ford, Dds & Vincent J. Ford, Dds, Inc. | Dentist | 7001 Stockton Ave., El Cerrito, CA 94530 | 2007-05-03 |
| Find all providers in zip 94530 | ||||
| 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 |
|---|---|---|---|---|
| 1134664824 | Steven Truman | Dentist | 1718 Lexington Ave, Apt A, El Cerrito, CA 94530-1972 | 2017-01-04 |
| 1558747063 | Sumera Zeeshan | Dentist | 136 Ramona Ave, El Cerrito, CA 94530-4143 | 2015-08-06 |
| 1538558788 | William Cox Dental Corporation | Dentist | 11430 San Pablo Ave, Ste 200, El Cerrito, CA 94530-1969 | 2015-01-12 |
| 1306110911 | Cecilia Fong | Dentist | 10317 San Pablo Ave, El Cerrito, CA 94530-3113 | 2012-02-28 |
| 1508098468 | Hung-hsiang Tso | Dentist | 7001 Stockton Ave Ste 2, El Cerrito, CA 94530-2961 | 2009-08-11 |
| 1427112051 | Firoozeh - Lavassani | Dentist | 411 Kearney St, El Cerrito, CA 94530-3656 | 2006-12-20 |
| 1801995733 | Bardia Farahmand | Dentist | 10810 San Pablo Ave, Suite 30, El Cerrito, CA 94530 | 2006-09-21 |
| 1104880111 | Ryan Lawrence Horn | Dentist | 7001 Stockton Ave, El Cerrito, CA 94530-2961 | 2006-04-14 |
| 1750993556 | Vineet Raj Khehra | Dentist | 10102 San Pablo Ave, El Cerrito, CA 94530-3510 | 2020-08-21 |
| 1962010983 | Amrit Pal Kapil | Dentist | 170 El Cerrito Plz, El Cerrito, CA 94530-4002 | 2020-07-15 |
| Find all providers in EL CERRITO | ||||
| City | EL CERRITO |
| Zip Code | 94530 |
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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.