ROSE DASTMALCHI (NPI# 1487886214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487886214 |
| Entity Type | Individual |
| Full Name | ROSE DASTMALCHI |
| Credential | D.D.S. |
| Practice Address |
301 Lennon Ln Suite 101 Walnut Creek CA 94598-2483 |
| Practice Telephone | 9259372100 |
| Practice Fax Number | 9259372100 |
| Mailing Telephone | 9259372100 |
| Mailing Fax Number | 9259372100 |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2009-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
36910 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | 36910 | 01 |
| CA | DELTA DENTAL | 036910 | 01 |
| Street Address |
301 LENNON LN SUITE 101 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639173545 | Lisa M Asta | Pediatrics | 301 Lennon Ln, Ste 203, Walnut Creek, CA 94598-2483 | 2005-06-08 |
| 1023621000 | Lan-anh Ho | Dentist | 301 Lennon Ln, Walnut Creek, CA 94598-2483 | 2020-08-28 |
| 1508355579 | Jing Ye | Dentist | 301 Lennon Ln, Walnut Creek, CA 94598 | 2018-05-05 |
| 1982097853 | Marianne Orton | Nurse Practitioner | 301 Lennon Ln, Suite 203, Walnut Creek, CA 94598-2483 | 2015-03-16 |
| 1598192163 | California Eye Clinic | Durable Medical Equipment & Medical Supplies | 301 Lennon Ln, Suite 201, Walnut Creek, CA 94598-2483 | 2013-09-27 |
| 1184959033 | Jennifer Hisako Hayashi | Physician Assistant | 301 Lennon Ln, Suite 102, Walnut Creek, CA 94598-2483 | 2009-10-09 |
| 1689819039 | Samir B. Shah, Md, Inc. | Ophthalmology | 301 Lennon Ln, Suite 201, Walnut Creek, CA 94598-2483 | 2008-12-12 |
| 1225172356 | California Eye Clinic | Ophthalmology | 301 Lennon Ln, Suite 201, Walnut Creek, CA 94598-2483 | 2007-02-20 |
| 1194876987 | Julienne Ha Heene | Optometrist | 301 Lennon Ln, Ste 201, Walnut Creek, CA 94598-2483 | 2007-01-16 |
| 1922018407 | Michael S Tobian | Dentist | 301 Lennon Ln, Suite 102, Walnut Creek, CA 94598-2483 | 2006-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1619302692 | Karl Erik Engdahl | Dentist | 2225 Olympic Bovlevard, Walnut Creek, CA 94595 | 2013-09-09 |
| 1235488040 | Justin Braga Dds Ms Inc | Dentist | 1844 San Miguel Dr Ste 309, Walnut Creek, CA 94596-4963 | 2012-09-07 |
| 1346452539 | John William Bruns | Dentist | 2021 Ygnacio Valley Rd Ste A3, Walnut Creek, CA 94598-3388 | 2007-05-03 |
| 1275652943 | Semi Lim | Dentist | 1575 Treat Blvd, Suite 115, Walnut Creek, CA 94598-1048 | 2007-03-27 |
| 1841369386 | Eric S Tsai | Dentist | 1855 San Miguel Drive, Suite #10, Walnut Creek, CA 94596-5279 | 2006-11-07 |
| 1265467518 | Robert T Marks | Dentist | 1844 San Miguel Dr Ste 209, Walnut Creek, CA 94596-4913 | 2006-07-12 |
| 1720490121 | Kourosh Harandi Dental Practice | Dentist | 1844 San Miguel Dr, Suite 309, Walnut Creek, CA 94596-4962 | 2014-05-20 |
| 1609073790 | Dr. John W. Bruns, D.d.s. Inc | Dentist | 2021 Ygnacio Valley Rd, Suite A-2, Walnut Creek, CA 94598-3391 | 2007-07-02 |
| 1295872299 | Stephen Andrew Reid | Dentist | 1844 San Miguel Dr, Suite # 309, Walnut Creek, CA 94596-4962 | 2007-01-30 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
Please comment or provide details below to improve the information on ROSE DASTMALCHI.
| 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.