DR. HEIDI CHAN (NPI# 1255882403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255882403 |
| Entity Type | Individual |
| Full Name | DR. HEIDI CHAN |
| Practice Address |
9241 Reseda Blvd Ste 104 Northridge CA 91324-3191 |
| Practice Telephone | 8187094400 |
| Mailing Telephone | 8187094400 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
46035 | CA | Dental Providers |
| Street Address |
9241 RESEDA BLVD STE 104 |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91324-3191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803461 | Endeavor Recovery LLC | Clinic/Center | 8537 Yolanda Ave, Northridge, CA 91324 | 2020-02-20 |
| 1780227769 | Drs Concepts, Incorporated | Clinic/Center | 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 | 2019-10-23 |
| 1023674421 | Expo Diagnostics, Inc. | Clinic/Center | 8619 Receda Blvd., Northridge, CA 91324 | 2019-05-13 |
| 1235601444 | Grace Peprah | Marriage & Family Therapist | 19037 Community Street, Northridge, CA 91324 | 2018-12-28 |
| 1336635531 | Kristel Fortuny Bushner | Specialist/Technologist | 9555 Reseda Blvd, 309, Northridge, CA 91324 | 2018-07-11 |
| 1710474358 | Rara Enterprises Inc | Pharmacy | 19331 Business Center Dr., Ste. 100, Northridge, CA 91324 | 2018-04-19 |
| 1205343670 | Mariana Nicol Valdez Castro | Behavior Technician | 9335 Reseda Blvd # 101, Northridge, CA 91324 | 2018-01-05 |
| 1033655220 | Benyaminy and Kashani Dds,inc. | Clinic/Center | 8954 Reseda Blvd #100, Northridge, CA 91324 | 2017-01-11 |
| 1366809915 | Tia Brisco | Counselor | 9700 Reseda Blvd Ste 208, Northridge, CA 91324 | 2016-01-26 |
| 1053780189 | Saloni Kadakia | Student in an Organized Health Care Education/Training Program | Ucla Olive View, 14445 Olive View Dr, Sylmar, Ca 91342, CA 91324 | 2015-09-18 |
| Find all providers in zip 91324 | ||||
| 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 |
|---|---|---|---|---|
| 1205451093 | Cesinita Alarcon Urbina Dds Inc. | Dentist | 19525 Nordhoff St Ste 30, Northridge, CA 91324-7408 | 2020-06-08 |
| 1336793728 | Mitra Minovi | Dentist | 9444 Ruffner Ave, Northridge, CA 91343 | 2019-07-24 |
| 1790276616 | Marufa Lala | Dentist | 11568 Viking Ave, Northridge, CA 91326-1815 | 2018-05-25 |
| 1205381340 | Nida Rioga Relativo, D.d.s., Inc | Dentist | 9535 Reseda Blvd Ste 213, Northridge, CA 91324-6028 | 2016-08-18 |
| 1245650597 | Shahdad Arami | Dentist | 9801 Balboa Bl, Northridge, CA 91325 | 2014-04-24 |
| 1558787424 | Daniel Herrera | Dentist | 18725 Roxburgh Pl, Northridge, CA 91326-1122 | 2014-03-14 |
| 1548540552 | Valley Ace Dental Group Joint | Dentist | 8345 Reseda Blvd Ste 101, Northridge, CA 91324-4648 | 2011-08-22 |
| 1417257767 | Mindy Park | Dentist | 8345 Reseda Blvd. #101, Northridge, CA 91324 | 2010-11-02 |
| 1962719120 | Khoi D Tran | Dentist | 9545 Reseda Blvd Ste 1, Northridge, CA 91324-2348 | 2010-09-09 |
| 1518273846 | David Gobrial | Dentist | 19742 Buckeye Meadow Ln, Northridge, CA 91326-4110 | 2010-08-24 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91324 |
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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.