SUDABEH Z MOAVENIAN (NPI# 1528156809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528156809 |
| Entity Type | Individual |
| Full Name | SUDABEH Z MOAVENIAN |
| Credential | DDS, MS |
| Practice Address |
39340 Fremont Blvd Fremont CA 94538-1320 |
| Mailing Address |
100 Bahama Ct San Ramon CA 94582-1403 |
| Practice Telephone | 5107393889 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
38333 | CA | Dental Providers |
| Street Address |
39340 FREMONT BLVD |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417912676 | William Cox Dental Corporation | Dentist | 39340 Fremont Blvd, Fremont, CA 94538-1320 | 2006-04-19 |
| 1811507213 | Malvika Patel | Dentist | 39340 Fremont Blvd, Fremont, CA 94538-1320 | 2020-07-31 |
| 1306049747 | Jennifer Lam | Dentist | 39340 Fremont Blvd, Fremont, CA 94538-1320 | 2007-06-05 |
| 1912096538 | Pavithra Keragod Channegowda | Dentist | 39340 Fremont Blvd, Fremont, CA 94538-1320 | 2006-10-12 |
| 1629160643 | Parvati Hari Iyer | Dentist | 39340 Fremont Blvd, Fremont, CA 94538-1320 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| 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 |
|---|---|---|---|---|
| 1992943716 | Huei-ling Chang | Dentist | 4988 Pase Padre Parkway, #204, Fremont, CA 94555 | 2009-02-02 |
| 1356495063 | Hwa-ying Wang | Dentist | 39201 State St Ste 215, Fremont, CA 94538-1437 | 2007-01-22 |
| 1770648842 | Stephen E Cellier | Dentist | 325 S Park Ave, Fremont, OH 43420-2972 | 2006-12-27 |
| 1427061811 | Alan M Lieberman | Dentist | 3805 Beacon Ave, Suite C, Fremont, CA 94538-1464 | 2006-08-15 |
| 1982633343 | Hooshang Kashani | Dentist | 40803 Fremont Blvd, Fremont, CA 94538-4306 | 2006-06-30 |
| 1265701528 | Jeannie Chung | Dentist | 39055 Hastings St, Suite 104, Fremont, CA 94538-1518 | 2011-12-15 |
| 1306129192 | Ronald Fujitaki | Dentist | 3805 Beacon Ave, Ste C, Fremont, CA 94538-1464 | 2011-09-28 |
| 1376851014 | Abida T Cheema | Dentist | 43625 Mission Blvd, #105 Aarish Dental, Fremont, CA 94539-5852 | 2010-09-15 |
| 1700030541 | Alan M. Lieberman, D.d.s., Apc | Dentist | 3805 Beacon Ave, Suite C, Fremont, CA 94538-1464 | 2008-11-06 |
| 1457404592 | Jeannie Chung, Dds, Ms, Inc | Dentist | 39055 Hastings St, Suite 104, Fremont, CA 94538-1518 | 2007-01-20 |
| Find all providers in FREMONT | ||||
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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.