SHERMAN PLAZA FAMILY DENTAL (NPI# 1669667051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669667051 |
| Entity Type | Organization |
| Organization Name | SHERMAN PLAZA FAMILY DENTAL |
| Practice Address |
20109 Sherman Way Winnetka CA 91306-3206 |
| Practice Telephone | 8189934284 |
| Practice Fax Number | 8189934265 |
| Mailing Telephone | 8189934284 |
| Mailing Fax Number | 8189934265 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |
| Authorized Official Name | DR. EDMUNDO JOSE AYALA (CEO) |
| Authorized Official Telephone | 8189934284 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30997 | CA | Dental Providers |
| Street Address |
20109 SHERMAN WAY |
| City | WINNETKA |
| State | CA |
| Zip Code | 91306-3206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437374873 | Edmundo Jose Ayala-orantes | Dentist | 20109 Sherman Way, Winnetka, CA 91306-3206 | 2007-04-13 |
| 1184890790 | Silvia L Duarte-ayala | Dentist | 20109 Sherman Way, Winnetka, CA 91306-3206 | 2008-05-03 |
| 1346435666 | Edmundo Ayala, D.d.s A Dental Corporation | Dentist | 20109 Sherman Way, Winnetka, CA 91306-3206 | 2007-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255856555 | California Physician Network LLC | Non-emergency Medical Transport (VAN) | 7657 Winnetka #712, Winnetka, CA 91306 | 2017-08-08 |
| 1073069373 | Mostafa Ahady | Optometrist | 7044 Oakdale Ave., Winnetka, CA 91306 | 2016-08-28 |
| 1922457340 | Evelin Garcia Psy.d. A Psychological Corporation | Community/Behavioral Health | 20832 Roscoe Blvd. Ste.202, Winnetka, CA 91306 | 2016-06-07 |
| 1104290485 | Edmond Reyhani | Pharmacist | 20839 W Roscoe Blvd, Winnetka, CA 91306 | 2015-11-24 |
| 1558730770 | Lester Antonio Marlin | Rehabilitation Practitioner | 20325 Sherman Way, Apt44, Winnetka, CA 91306 | 2015-09-17 |
| 1336578228 | Charmaine Fermin | Counselor | 20225 Cohasset St, Winnetka, CA 91306 | 2013-11-01 |
| 1669740429 | Robert Hazany | Dentist | 20832 Roscoe Blvd #101, Canoga Park, CA 91306 | 2011-12-08 |
| 1912223983 | Intrepid Anesthesia Associates Corporation | Anesthesiology | 427 W. Pueblo St., Santa Barbara, CA 91306 | 2010-04-15 |
| 1235315656 | Angelica Yerena | Marriage & Family Therapist | 20233 Lanark, Winnetka, CA 91306 | 2008-01-16 |
| 1205054434 | Winnetka Medical Group Inc | Family Medicine | 6742 Winnetka Ave, Winnetka, CA 91306 | 2007-04-23 |
| Find all providers in zip 91306 | ||||
| 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 |
|---|---|---|---|---|
| 1437541695 | Edwin Papazian Dds Inc | Dentist | 7616 Winnetka Ave Ste 1, Winnetka, CA 91306-2686 | 2015-02-25 |
| 1295039980 | Kathleen B Barth | Dentist | 475 Chestnut St, Winnetka, IL 60093-2438 | 2011-01-10 |
| 1194058768 | Regina Guadalupe Espinoza | Dentist | 20173 Saticoy St, Winnetka, CA 91306-2506 | 2009-09-14 |
| 1942347943 | Sharon K. Tso | Dentist | 20439 Sherman Way, Winnetka, CA 91306-3109 | 2007-01-31 |
| 1659446862 | Edwin Papazian | Dentist | 7616 Winnetka Avenue, Suite 1, Winnetka, CA 91306 | 2006-11-22 |
| 1104839943 | Jeffrey S Dreebin | Dentist | 42 Green Bay Rd, Winnetka, IL 60093-4006 | 2006-08-14 |
| 1871540633 | Kenneth N Milin | Dentist | 732 Elm St, Winnetka, IL 60093-2567 | 2006-05-27 |
| 1346788536 | Sihana Rugova | Dentist | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2017-02-07 |
| 1053728089 | Regina G Espinoza Dds Inc | Dentist | 20173 Saticoy St, Winnetka, CA 91306-2506 | 2014-07-22 |
| 1861824419 | Kathleen B Barth | Dentist | 475 Chestnut St, Winnetka, IL 60093-2438 | 2013-08-06 |
| Find all providers in WINNETKA | ||||
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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.