KOUSHAN AZAD DMD. INC (NPI# 1285242388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285242388 |
| Entity Type | Organization |
| Organization Name | KOUSHAN AZAD DMD. INC |
| Practice Address |
238 E Betteravia Rd Ste C Santa Maria CA 93454-7889 |
| Mailing Address |
1009 N H St Ste P Lompoc CA 93436-8141 |
| Practice Telephone | 8052024988 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | OLIVIA AGUINAGA (BUSINESS COORDINATOR) |
| Authorized Official Telephone | 8056983017 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CaliDental Santa Maria | Doing Business As Name - Organization |
| Street Address |
238 E BETTERAVIA RD STE C |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-7889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762523 | Koushan Azad Dmd Inc | Dentist | 238 E Betteravia Rd Ste C, Santa Maria, CA 93454-7889 | 2020-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
| 1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
| 1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| Find all providers in zip 93454 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306470711 | Andrew Van Sicklen Dds Inc. | Clinic/Center | 1105 E Foster Rd Ste A, Santa Maria, CA 93455-6400 | 2020-02-25 |
| 1720223860 | Maria R. Silvera Portacio Phd, Dds, Inc. | Clinic/Center | 210 S Palisade Dr Ste 201, Santa Maria, CA 93454-8900 | 2008-12-03 |
| 1003390188 | Purnima Sheoran Dds, Inc | Clinic/Center | 730 E Chapel St, Santa Maria, CA 93454-4576 | 2018-09-24 |
| 1902323314 | Community Health Center of The Central Coast Inc | Clinic/Center | 1304 S Miller St, Santa Maria, CA 93454-6904 | 2017-08-25 |
| 1154741536 | H Sun Choi Dds Inc | Clinic/Center | 802 E Main St, Santa Maria, CA 93454-5329 | 2014-04-23 |
| 1750716452 | Maite Vargas Dental Corporation | Clinic/Center | 500 S Broadway, Suite 246, Santa Maria, CA 93454-5148 | 2013-09-12 |
| 1144545971 | Prasan Mohansinh Parmar Dds, Inc. | Clinic/Center | 1414 S Miller St Ste 7, Santa Maria, CA 93454-6916 | 2010-04-05 |
| 1063648285 | Hyun Woo Kim Dds Inc | Clinic/Center | 125 W Stowell Rd, Santa Maria, CA 93458-6522 | 2009-06-02 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
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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.