DR. MICHAEL ELYSON (NPI# 1225248230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225248230 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ELYSON |
| Credential | D.D.S. |
| Practice Address |
19642 Ventura Blvd Suite B Tarzana CA 91356-7125 |
| Practice Telephone | 8187081112 |
| Mailing Telephone | 8187081112 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 40234 | CA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
40234 | CA | Dental Providers |
| Street Address |
19642 VENTURA BLVD SUITE B |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-7125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| 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 |
|---|---|---|---|---|
| 1003466285 | Mina Davar | Dentist | 5405 Lindley Ave Apt 209, Tarzana, CA 91356-3714 | 2019-09-18 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1215381470 | Nargiz Zadeh | Dentist | 18740 Ventura Blvd Ste 208, Tarzana, CA 91356 | 2016-04-14 |
| 1083012454 | David E Dann | Dentist | 18370 Burbank Blvd Ste 711, Tarzana, CA 91356-2829 | 2014-12-16 |
| 1528498326 | Anoosheh Shahkarami | Dentist | 18399 Ventura Blvd Ste 251, Tarzana, CA 91356-6401 | 2013-11-15 |
| 1902143571 | Karina Finkeltub Spillman | Dentist | 5620 Wilbur Ave Ste 102, Tarzana, CA 91356-1308 | 2013-01-15 |
| 1154636520 | Darien Ephram | Dentist | 18399 Ventura Blvd Ste 254, Tarzana, CA 91356-6400 | 2010-08-10 |
| 1366679011 | Monica Moussanejad Dds Inc | Dentist | 5620 Wilbur Ave Ste 300, Tarzana, CA 91356-1311 | 2009-06-19 |
| 1164601829 | Garo Ourfalian Family Dentist | Dentist | 18455 Burbank Blvd Ste 401, Tarzana, CA 91356-6648 | 2007-10-30 |
| 1609086578 | Mark Fisher Dds Professional Dental Corporation | Dentist | 18411 Ventura Blvd, Tarzana, CA 91356-4201 | 2007-05-22 |
| Find all providers in TARZANA | ||||
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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.