DR. AMEEN RYAN SHAHNAM (NPI# 1407239965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407239965 |
| Entity Type | Individual |
| Full Name | DR. AMEEN RYAN SHAHNAM |
| Credential | DDS |
| Practice Address |
15301 Warren Shingle Rd Beale Afb CA 95903-1907 |
| Mailing Address |
Po Box 4174 Burbank CA 91503-4174 |
| Practice Telephone | 7757417760 |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
61160 | KS | Dental Providers |
| Street Address |
15301 WARREN SHINGLE RD |
| City | BEALE AFB |
| State | CA |
| Zip Code | 95903-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831182047 | Sadina Lynn Brecheisen-beach | Nurse Practitioner | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2005-08-24 |
| 1407472111 | Shalaleh Khoei | Dietitian, Registered | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1905 | 2020-06-18 |
| 1902443476 | Thuy-trang Thu Lam | Pharmacist | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1905 | 2019-12-04 |
| 1558920819 | Madison Lee Kernick | Dentist | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2019-06-11 |
| 1669039525 | Dustin Lansing Bennett | Physician Assistant | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1905 | 2019-05-24 |
| 1760944607 | David Chou | Physician Assistant | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2019-04-01 |
| 1548721244 | Nicolas Lara | Internal Medicine | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1905 | 2019-03-26 |
| 1265901920 | Brianna Lee Holmes | Pharmacist | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1905 | 2018-11-24 |
| 1861973513 | Ryan Joel Banci Mintalar | Physician Assistant | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2018-08-21 |
| 1336634823 | Erika Jennifer Reid | Social Worker | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2018-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962575969 | Linda Lee Currier | Physical Therapist | 9 Medical Group, 15301 Warren Shingle Road, Beale Afb, CA 95903 | 2006-11-16 |
| 1700984853 | Kimberly D Kumer | Psychiatry & Neurology | 15301 Warren Shingle Road, Beale Afb, CA 95903 | 2006-09-20 |
| 1780637124 | Lillie M Mells | Social Worker | 9mdos/sgoh, 15301 Warren Shingle Road, Beale Afb, CA 95903 | 2006-05-18 |
| 1003109844 | Jerrica Marie Wild | Military Health Care Provider | 15301 Warren Shingle Road, Beale Afb, CA 95903 | 2011-05-26 |
| 1962413773 | William F Nakashima | Internal Medicine | 414 G St, Suite 106, Marysville, CA 95903 | 2006-08-10 |
| 1417999228 | Frank Peter Baccelli | Dentist | 15337 Warren Shingle Rd, Beale Afb, CA 95903-1905 | 2006-06-13 |
| 1245389071 | Kelly Neil West | Family Medicine | 9th Medical Group, 15301 Warren Shingle Road, Beale Afb, CA 95903-1907 | 2007-01-10 |
| 1912456369 | Martha Lawder | Dietitian, Registered | 15301 Warren Shingle Road, Beale, CA 95903-1907 | 2016-09-27 |
| 1487799755 | Dianna M. Garbett | Counselor | 15301 Warren Shingle Road, 9 Mdos Sgohf, Beale Afb, CA 95903-1907 | 2007-02-21 |
| 1770027807 | Maura Scolese | Physical Therapist | 3386 Loma Dr, Beale Afb, CA 95903-2122 | 2016-12-08 |
| Find all providers in zip 95903 | ||||
| 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 |
|---|---|---|---|---|
| 1003360629 | Olga Ivasheva | Dentist | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2016-08-11 |
| 1093054157 | John Edward Dinan Jr. | Dentist | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2013-02-10 |
| 1821226424 | Joshua Thomas Breding | Dentist | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2009-06-23 |
| 1487894952 | Scott Walker | Dentist | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2009-02-24 |
| 1245485838 | Tamar Lev | Dentist | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2008-11-24 |
| 1942270954 | Robert Victor Reinhart Jr. | Dentist | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932141 | Jason T Garland | Dentist | 7892 Sitio Mirto, Carlsbad, CA 92009-6999 | 2020-11-05 |
| 1386245462 | Miller Skinner and Dastrup Dental Corporation of Madera | Dentist | 118 N A St, Madera, CA 93638-3210 | 2020-11-04 |
| 1912508177 | Adrian Acosta Dds A Professional Dental Corp | Dentist | 951 W. Whittier Blvd, La Habra, CA 90631-3743 | 2020-11-04 |
| 1871194175 | Lawrence G. Low Dds & Kenneth Y.k. Li Dds | Dentist | 229 Cajon St Ste 3, Redlands, CA 92373-5284 | 2020-11-03 |
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1083214282 | Sara Davidson, Dds, PC | Dentist | 176 Terra Vista Ave, San Francisco, CA 94115-3824 | 2020-10-27 |
| 1871192484 | David Moody Dental Corporation | Dentist | 19737 W Valley Blvd, Tehachapi, CA 93561-8601 | 2020-10-23 |
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1104425248 | Aditi Mehndiratta | Dentist | 17585 Vierra Canyon Rd, Prunedale, CA 93907-3312 | 2020-10-20 |
| 1346849452 | Lauren Gabrielle Alfonso Santos | Dentist | 4005 Manzanita Ave Ste 50, Carmichael, CA 95608-1784 | 2020-10-20 |
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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.