DR. MAX PAUL MONCAYO (NPI# 1588636310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588636310 |
| Entity Type | Individual |
| Full Name | DR. MAX PAUL MONCAYO |
| Credential | DDS |
| Practice Address |
881 Alma Real Dr Ste T4 Pacific Palisades CA 90272-3743 |
| Mailing Address |
14505 W Sunset Blvd Pacific Palisades CA 90272-3940 |
| Practice Telephone | 3104590014 |
| Mailing Telephone | 9099089660 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2019-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
DD5229 | NM | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
53926 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1647 Taussig Blvd, Norfolk, VA 23511 | 7573146517 |
| Street Address |
881 ALMA REAL DR STE T4 |
| City | PACIFIC PALISADES |
| State | CA |
| Zip Code | 90272-3743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053852590 | Lynn Watanabe | Dentist | 881 Alma Real Drive Suite 222, Pacific Palisades, CA 90272 | 2017-03-16 |
| 1891248217 | Ericka Hofmeyer | Marriage & Family Therapist | 17015 Pacific Coast Highway, Spc 28, Pacific Palisades, CA 90272 | 2016-08-02 |
| 1053767137 | Laura Kirkland | Dental Therapist | 984 Monument Drive, 207, Pacific Palisades, CA 90272 | 2016-05-09 |
| 1003288846 | Traig Ty Trumbo | Chiropractor | 12519 Sunset Blvd, Suite 203, Pacific Palisades, CA 90272 | 2015-10-20 |
| 1356712442 | Kathryn Hope Carter | Counselor | 881 Alma Real Drive, Suite 218, Reconnect Integrative Trauma Treatment Center, Pacific Palisades, CA 90272 | 2015-10-14 |
| 1922480946 | John Pietrzak | Psychologist | 15340 Albright St Unit 106, Pacific Palisades, CA 90272 | 2015-06-25 |
| 1841607652 | Babak Forooghi | Dentist | 15720 Ventura Blvd. Suite 311, Encino, CA 90272 | 2014-07-14 |
| 1679992374 | Julie Erickson | Marriage & Family Therapist | 1052 Kagawa Street, Pacific Palisades, CA 90272 | 2014-04-09 |
| 1669750816 | Communy Care At Home | Adult Companion | 1623 S. La Cienega Blvd, Los Angeles, CA 90272 | 2011-07-21 |
| 1548498165 | Norman J. Rubaum | Surgery | 620 Enchanted Way, Pacific Palisades, CA 90272 | 2009-06-23 |
| Find all providers in zip 90272 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851918262 | Fernandez Torres Dds LLC | Dentist | 4738 Scotts Valley Dr Ste A, Scotts Valley, CA 95066-4239 | 2020-07-01 |
| 1689138703 | Green Valley Oral Surgery and Dental Implant Center | Dentist | 5140 Business Center Dr Ste 120, Fairfield, CA 94534-1794 | 2019-01-23 |
| 1366928509 | Jason W. Pair D.d.s. A.p.c. | Dentist | 18907 Nordhoff St. #42, Northridge, CA 91324-3794 | 2018-07-11 |
| 1801314968 | Azar Professional Dental Corporation | Dentist | 3403 E Plaza Blvd Ste F, National City, CA 91950-4140 | 2017-09-08 |
| 1356865422 | F.farshidi Dds Md | Dentist | 2401 W Chapman Ave Ste 101, Orange, CA 92868-2327 | 2017-08-01 |
| 1487082046 | Scripps Oral Pathology Service, LLC | Dentist | 5190 Governor Dr Ste 106, San Diego, CA 92122-2848 | 2013-10-17 |
| 1497014146 | Brent J Ramsey | Dentist | 27450 Tourney Rd Ste 160, Valencia, CA 91355-1863 | 2012-05-15 |
| 1184869463 | Lan Su | Dentist | 31332 Via Colinas Ste 109, Westlake Village, CA 91362-6779 | 2008-12-15 |
| 1891987913 | Mahvash Navazesh | Dentist | 925 W 34th St Ste 151, Los Angeles, CA 90089-0641 | 2007-08-13 |
| 1124239488 | Andres F Herrera | Dentist | 546 Abbott St, Salinas, CA 93901-4000 | 2007-05-25 |
| Find all providers with the same taxonomy | ||||
| City | PACIFIC PALISADES |
| Zip Code | 90272 |
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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.