UNIVERSITY OF SOUTHERN CALIFORNIA (NPI# 1285707158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285707158 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF SOUTHERN CALIFORNIA |
| Other Organization Name | USC ORAL HEALTH CENTER |
| Practice Address |
3151 S Hoover St Los Angeles CA 90089-0641 |
| Practice Telephone | 2137402012 |
| Practice Fax Number | 2137402722 |
| Mailing Telephone | 2137402012 |
| Mailing Fax Number | 2137402722 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2010-03-04 |
| Authorized Official Name | MR. TODD DICKEY (SENIOR VICE PRESIDENT, ADMINISTRATI) |
| Authorized Official Telephone | 2137408184 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| N | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
Dental Providers | ||
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| N | 126800000X | Dental Assistant | Dental Providers | ||
| N | 126900000X | Dental Laboratory Technician | Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | UNITED CONCORDIA | 9117717 | 01 |
| CA | BLUE CROSS | ZZZ34010Z | 01 |
| CA | BLUE SHIELD | ZZZ34010Z | 01 |
| Other Name | Type Code |
|---|---|
| USC Oral Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841724168 | University of Southern California | Dentist | 545 S. San Pedro Street, Second Floor, Los Angeles, CA 90013-2101 | 2017-04-13 |
| 1558819391 | University of Southern California | General Acute Care Hospital | 1441 Eastlake Avenue, Suite 3440, Los Angeles, CA 90033-4972 | 2016-09-21 |
| 1306263264 | University of Southern California | Pharmacy | 830 S Flower St, Los Angeles, CA 90017-4608 | 2014-03-27 |
| 1568595684 | University of Southern California | Clinical Medical Laboratory | 1441 Eastlake Avenue, Room 5409, Los Angeles, CA 90033 | 2007-03-14 |
| 1427181577 | University of Southern California | Clinical Medical Laboratory | 1200 North State Street, Barracks D, Los Angeles, CA 90033 | 2007-03-14 |
| 1881727220 | University of Southern California | Clinical Medical Laboratory | 1321 North Mission Road, Lrb 207 and 208, Los Angeles, CA 90033 | 2007-03-14 |
| 1427181072 | University of Southern California | Clinical Medical Laboratory | 126 W. Del Mar Blvd, Pasadena, CA 91105-2508 | 2007-03-13 |
| 1952480469 | University of Southern California | Pharmacy | 3601 Trousdale Pkwy, Stu 101, Los Angeles, CA 90089-0096 | 2006-11-03 |
| 1790160273 | University of Southern California | Pharmacy | 1000 S Fremont Ave, Suite 10150, Alhambra, CA 91803-8800 | 2015-07-24 |
| 1104206176 | University of Southern California | Skilled Nursing Facility | 1510 San Pablo St, Hcc 600, Los Angeles, CA 90033-5320 | 2015-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | UNIVERSITY OF SOUTHERN CALIFORNIA | 3551 Trousdale Parkway, Adm 352, Los Angeles, CA 90089-5013 |
| North Carolina Corporations | University of Southern California | 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608 |
| Street Address |
3151 S HOOVER ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90089-0641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912109968 | Tae Kim | Dentist | 3151 S Hoover St, Los Angeles, CA 90089-7792 | 2007-06-01 |
| 1801097126 | Lucille Rotstein | Dentist | 3151 S Hoover St, Los Angeles, CA 90089-7792 | 2007-05-31 |
| 1356542666 | Richard Furuichi | Dentist | 3151 S Hoover St, Los Angeles, CA 90089-7792 | 2007-05-31 |
| 1912109299 | Sigmund Abelson | Dentist | 3151 S Hoover St, Los Angeles, CA 90089-7792 | 2007-05-31 |
| 1477754778 | Yang Chai | Dentist | 3151 S Hoover St, Los Angeles, CA 90089-7792 | 2007-05-31 |
| 1831390145 | Michael Jorgensen | Dentist | 3151 S Hoover St, Los Angeles, CA 90089-7792 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962980201 | Brittany Nicole Beasley | Psychologist | 1031 W. 34th St., 3rd Floor, Suite 304, Los Angeles, CA 90089 | 2018-07-30 |
| 1548763675 | Tien Ng | Pharmacist | Usc School of Pharmacy, 1985 Zonal Ave, Los Angeles, CA 90089 | 2018-03-15 |
| 1821503236 | Theodore James Goldsmith | Psychologist | 1031 W 34th St Fl 3, Los Angeles, CA 90089 | 2017-12-07 |
| 1174046890 | Erin Lindsay Mcintyre | Occupational Therapist | 1540 Alcazar Street, Chp 133, Los Angeles, CA 90089 | 2017-07-25 |
| 1831645571 | Alyssa Cantal | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St., Chp-133, Los Angeles, CA 90089 | 2016-09-01 |
| 1841744638 | Cheryl Jonghee Park | Dentist | 925 W. 34th Street, Room 4363, Los Angeles, CA 90089 | 2016-08-09 |
| 1528412376 | Mark Duan Ard Jr. | Psychiatry & Neurology | 1975 Zonal Ave, Los Angeles, CA 90089 | 2016-04-18 |
| 1851766679 | Samantha Trout | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St Chp-133, Los Angeles, CA 90089 | 2015-12-04 |
| 1215324363 | Upama Giri | Student in an Organized Health Care Education/Training Program | 1441 Eastlake Ave Ste 3470, Los Angeles, CA 90089 | 2015-04-15 |
| 1982015004 | Martrice Ways | Student in an Organized Health Care Education/Training Program | 3375 South Hoover Street, Suite H201, Los Angeles, CA 90089 | 2014-05-12 |
| Find all providers in zip 90089 | ||||
| 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 |
|---|---|---|---|---|
| 1295349082 | Reza Mehr | Dentist | 900 W Temple St Apt 506, Los Angeles, CA 90012-4551 | 2020-08-31 |
| 1396355590 | Kamyar Moradian | Dentist | 9201 Venice Blvd, Los Angeles, CA 90034-3324 | 2020-08-04 |
| 1669096160 | Leora H Sheily Dds PC | Dentist | 4852 Melrose Ave, Los Angeles, CA 90029-3736 | 2020-06-01 |
| 1013539535 | Smit Dangaria Dds Phd Inc | Dentist | 1325 S Harvard Blvd, Los Angeles, CA 90006-4229 | 2020-05-07 |
| 1912530585 | Sara Bahri Sabokpey | Dentist | 2001 Stradella Rd, Los Angeles, CA 90077-2322 | 2020-02-21 |
| 1518504497 | Jonathan Dye | Dentist | 1626 Palo Alto St Apt 102, Los Angeles, CA 90026-5052 | 2019-12-10 |
| 1972147940 | Catherine Margary Cuaco Begazo | Dentist | 100 S Doheny Dr Apt 209, Los Angeles, CA 90048-2926 | 2019-11-03 |
| 1386285427 | Jefferson Dental Corporation | Dentist | 12013 Wilshire Blvd, Los Angeles, CA 90025-1201 | 2019-09-30 |
| 1043868698 | Semyon Segal | Dentist | 2815 W Sunset Blvd Ste 106, Los Angeles, CA 90026-2168 | 2019-08-27 |
| 1144875592 | Jay Singh | Dentist | 11346 Iowa Ave Apt 203, Los Angeles, CA 90025-6085 | 2019-08-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90089 |
Please comment or provide details below to improve the information on UNIVERSITY OF SOUTHERN CALIFORNIA.
| 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.