DR. PAUL GUNNAR BOHMAN (NPI# 1336271170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336271170 |
Entity Type | Individual |
Full Name | DR. PAUL GUNNAR BOHMAN |
Credential | DDS |
Practice Address |
1280 S Victoria Ave Suite 250 Ventura CA 93003 |
Mailing Address |
1280 S Victoria Ave Suite 250 Ventura CA 93003-6555 |
Practice Telephone | 8056428672 |
Practice Fax Number | 8056428686 |
Mailing Telephone | 8056428672 |
Mailing Fax Number | 8056428686 |
Enumeration Date | 2007-03-09 |
Last Update Date | 2018-08-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
DDS43902 | CA | Dental Providers |
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
S2-156C | NV | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1701 N Green Valley Pkwy Ste 2e, Henderson, NV 890745886 | 8058446793 |
Street Address |
1280 S VICTORIA AVE SUITE 250 |
City | VENTURA |
State | CA |
Zip Code | 93003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649249319 | Mark Phillip Bozek | Optometrist | 1280 S Victoria Ave, Suite 100, Ventura, CA 93003-6555 | 2006-03-15 |
1861872160 | Judith Ann Holloway | Psychologist | 1280 S Victoria Ave, Suite 230, Ventura, CA 93003-6555 | 2015-06-02 |
1245504851 | Marzena Kelder Gilbert | Optometrist | 1280 S Victoria Ave, #100, Ventura, CA 93003-6555 | 2012-02-29 |
1598041451 | Ryan Sharma | Psychologist | 1280 S Victoria Ave, Ste 230, Ventura, CA 93003-6555 | 2011-10-24 |
1063674273 | Bonnie G Reich | Psychologist | 1280 S Victoria Ave, Ste 230, Ventura, CA 93003-6555 | 2008-06-29 |
1801078704 | Stephen M. Feinberg, Md Inc | Urology | 1280 S Victoria Ave, Suite 130, Ventura, CA 93003-6555 | 2007-12-03 |
1487771838 | Nancy Sterlin | Marriage & Family Therapist | 1280 S Victoria Ave, Suite 140, Ventura, CA 93003-6555 | 2007-03-23 |
1457476764 | Katherine J Emerick | Psychologist | 1280 S Victoria Ave, Suite 230, Ventura, CA 93003-6555 | 2007-03-20 |
1912050006 | Rosalind Cohen Warner | Obstetrics & Gynecology | 1280 S Victoria Ave, #204, Ventura, CA 93003-6555 | 2007-01-19 |
1538249529 | Ines Mongulo | Psychologist | 1280 S Victoria Ave, Suite 140, Ventura, CA 93003-6555 | 2006-10-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
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Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821207416 | James Owen Jacobs | Dentist | 6555 Telephone Rd, Suite 1, Ventura, CA 93003-4460 | 2007-05-21 |
1740304534 | Hooman Zarrinkelk | Dentist | 2859 Loma Vista Rd, Suite A, Ventura, CA 93003-1589 | 2007-03-18 |
1316080450 | Hessam S Siavash | Dentist | 5200 Telegraph Rd Ste B, Ventura, CA 93003-4185 | 2007-02-15 |
1588658413 | William Joseph Ferguson Jr. | Dentist | 2749 Loma Vista Rd, Ventura, CA 93003-1544 | 2005-09-07 |
1205373388 | Zarrinkelk and Siavash Dental Partnership | Dentist | 5200 Telegraph Rd Ste B, Ventura, CA 93003-4185 | 2017-01-26 |
1962613406 | Lane J Lopez Dds & Hooman M Zarrinkelk Dds Apc | Dentist | 2859 Loma Vista Road, Suite A, Ventura, CA 93003 | 2007-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
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1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
1609493170 | Amir Haghshenas Dds | Dentist | 3880 S Bascom Ave Ste 213, San Jose, CA 95124-2675 | 2020-07-01 |
1316568900 | Beech & Reid Dental Partnership | Dentist | 464 E Calaveras Blvd Ste B3, Milpitas, CA 95035-5412 | 2020-05-05 |
1518506773 | Francisco Suarez, Dds Inc. | Dentist | 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 | 2020-01-04 |
1831748839 | Slate Dental Corporation | Dentist | 6512 Lonetree Blvd Ste 100, Rocklin, CA 95765-5883 | 2019-09-11 |
1255980140 | Dr Maloux Macasaet Saguin Dental Corporation | Dentist | 9800 Topanga Canyon Blvd Ste J, Chatsworth, CA 91311-4075 | 2019-09-04 |
1891342267 | Amrollahie and Riman Dental Partnership | Dentist | 1442 Irvine Blvd Ste 225, Tustin, CA 92780-3846 | 2019-08-21 |
1548821572 | Hoang Dental Corporation | Dentist | 1356 W Valley Pkwy Ste J, Escondido, CA 92029-2138 | 2019-06-20 |
1073173860 | Omfs Care Center Partners | Dentist | 215 N Fresno St Ste 490, Fresno, CA 93701-0000 | 2019-06-14 |
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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.