DR. NARISSA BAWALAN AMBATA (NPI# 1538582564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538582564 |
| Entity Type | Individual |
| Full Name | DR. NARISSA BAWALAN AMBATA |
| Credential | DDS |
| Practice Address |
4509 Slauson Ave Suite B Maywood CA 90270-2954 |
| Practice Telephone | 3235608999 |
| Mailing Telephone | 3235608999 |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2020-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
61070 | CA | Dental Providers |
| Street Address |
4509 SLAUSON AVE SUITE B |
| City | MAYWOOD |
| State | CA |
| Zip Code | 90270-2954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467863647 | Narissa Ambata Dds Inc | Dentist | 4509 Slauson Ave, Suite B, Maywood, CA 90270-2954 | 2014-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770972374 | Jose R. Torres Dds Inc | Health Maintenance Organization | 3619 E.slauson Ave, Suite A, Maywood, CA 90270 | 2015-01-20 |
| 1417207887 | Alejandra Meza | Case Manager/Care Coordinator | 4930 E.59th Place, Maywood, CA 90270 | 2012-09-13 |
| 1134350267 | Gary Garoian D.d.s., Inc. | Dentist | 4201 East Slauson Ave, Maywood, CA 90270 | 2009-08-06 |
| 1548309560 | Shane Medical Office A Professional Corporation | Internal Medicine | 4316 E. Slauson Ave, Maywood, CA 90270 | 2007-02-06 |
| 1245385178 | Robert M Mendez Jr. | Dentist | 5705 Atlantic Blvd, Suite A1, Maywood, CA 90270 | 2007-01-23 |
| 1215010319 | Leonard J Feld | Dentist | 4332 E Slauson Ave, Maywood, CA 90270 | 2006-10-23 |
| 1366524019 | The Medicine Cabinet Inc. | Pharmacy | 5906 Atlantic Blvd., Maywood, CA 90270 | 2006-10-20 |
| 1578124871 | Javier Jardon, M.d., Medical Corporation | Ophthalmology | 4131 Slauson Ave, Maywood, CA 90270 | 2019-06-26 |
| 1992873947 | Ardmore Medical Group | Obstetrics & Gynecology | 5953 Atlantic Blvd, Maywood, CA 90270 | 2006-11-30 |
| 1275623472 | Andmore Medical Group | Obstetrics & Gynecology | 5953 Atlantic Blvd, Maywood, CA 90270 | 2006-10-16 |
| Find all providers in zip 90270 | ||||
| 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 |
|---|---|---|---|---|
| 1679693535 | Jose R. Torres D.d.s., Inc. | Dentist | 3619 Slauson Ave, Maywood, CA 90270-2631 | 2007-04-01 |
| 1134251226 | Heather Deanna Winther | Dentist | 4001 Slauson Ave, Maywood, CA 90270-2739 | 2007-03-12 |
| 1962532267 | Heru Wiredja | Dentist | 6100 Atlantic Blvd Ste I, Maywood, CA 90270-3184 | 2007-03-06 |
| 1902943509 | Michael E Alano | Dentist | 4332 Slauson Ave, Maywood, CA 90270-2848 | 2007-01-31 |
| 1245385178 | Robert M Mendez Jr. | Dentist | 5705 Atlantic Blvd, Suite A1, Maywood, CA 90270 | 2007-01-23 |
| 1073667945 | James Wong Dental Corp. | Dentist | 4509 E. Slauson Ave Ste B, Maywood, CA 90270-2954 | 2007-01-22 |
| 1306999651 | James Wong Dental Corp. | Dentist | 5714 Atlantic Blvd, Maywood, CA 90270-2920 | 2007-01-19 |
| 1710045588 | Harold Hugh Gardy | Dentist | 61 W Pleasant Drive, Maywood, NJ 07607 | 2006-12-05 |
| 1003991910 | Terry D. Ahn | Dentist | 6059 Atlantic Blvd, Maywood, CA 90270-3118 | 2006-10-26 |
| 1679592752 | Mounir Mady Dmd Pa | Dentist | 930 Spring Valley Rd, Maywood, NJ 07607-1436 | 2006-07-19 |
| Find all providers in MAYWOOD | ||||
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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.