GEORGE A MARANON ORAL MAXILLOFACIAL SURGERY (NPI# 1700037710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700037710 |
| Entity Type | Organization |
| Organization Name | GEORGE A MARANON ORAL MAXILLOFACIAL SURGERY |
| Practice Address |
18411 Clark St Suite # 204 Tarzana CA 91356-3506 |
| Practice Telephone | 8183440110 |
| Practice Fax Number | 8183440110 |
| Mailing Telephone | 8183440110 |
| Mailing Fax Number | 8183440110 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |
| Authorized Official Name | MR. GEORGE A. MARANON (OWNER) |
| Authorized Official Telephone | 8183440110 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D32127 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | D32127 | 01 |
| Street Address |
18411 CLARK ST SUITE # 204 |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922082452 | Karyn Leigh Gross | Obstetrics & Gynecology | 18411 Clark St, # 304, Tarzana, CA 91356-3506 | 2005-11-29 |
| 1083005672 | Sonia Delacruz | Specialist | 18411 Clark St, Suite 302, Tarzana, CA 91356-3506 | 2015-02-18 |
| 1033512439 | Michelle Rebecca Fouladian | Physician Assistant | 18411 Clark St, Suite 302, Tarzana, CA 91356-3506 | 2014-09-30 |
| 1598189755 | Theresa Daggi | Nurse Practitioner | 18411 Clark St, Suite 301, Tarzana, CA 91356-3506 | 2014-02-08 |
| 1023311008 | Neil D. Fagen,m.d.,inc. | Internal Medicine | 18411 Clark St, 204, Tarzana, CA 91356-3535 | 2010-12-13 |
| 1215107792 | Brian K Fenmore Md | Obstetrics & Gynecology | 18411 Clark St, 108, Tarzana, CA 91356-3506 | 2008-03-11 |
| 1578741823 | Jehuda Renan | Obstetrics & Gynecology | 18411 Clark St, Suite 103, Tarzana, CA 91356-3506 | 2008-02-07 |
| 1790997856 | Samuel Spigelman Md A Professional Corporation | Urology | 18411 Clark St, Suite 104, Tarzana, CA 91356 | 2007-05-03 |
| 1659407120 | Valley Foot Surgeons, A Podiatry Group, Inc. | Podiatrist | 18411 Clark St, Suite 107, Tarzana, CA 91356-3506 | 2007-02-26 |
| 1881734234 | Peter R. Rubenstein M D A Medical Corporation | Obstetrics & Gynecology | 18411 Clark St, Suite 307, Tarzana, CA 91356-3506 | 2007-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376746024 | Jean-paul W Davis | Dentist | 18399 Ventura Blvd, Suite #251, Tarzana, CA 91356-4233 | 2007-06-08 |
| 1083775696 | Susan J Lee | Dentist | 18372 Clark St, Suite 224, Tarzana, CA 91356-3508 | 2006-12-13 |
| 1962519272 | Jay Brian Reznick | Dentist | 18372 Clark St, Suite 224, Tarzana, CA 91356-3508 | 2006-08-23 |
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| 1609493170 | Amir Haghshenas Dds | Dentist | 3880 S Bascom Ave Ste 213, San Jose, CA 95124-2675 | 2020-07-01 |
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| 1518506773 | Francisco Suarez, Dds Inc. | Dentist | 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 | 2020-01-04 |
| 1831748839 | Slate Dental Corporation | Dentist | 6512 Lonetree Blvd Ste 100, Rocklin, CA 95765-5883 | 2019-09-11 |
| 1255980140 | Dr Maloux Macasaet Saguin Dental Corporation | Dentist | 9800 Topanga Canyon Blvd Ste J, Chatsworth, CA 91311-4075 | 2019-09-04 |
| 1891342267 | Amrollahie and Riman Dental Partnership | Dentist | 1442 Irvine Blvd Ste 225, Tustin, CA 92780-3846 | 2019-08-21 |
| 1548821572 | Hoang Dental Corporation | Dentist | 1356 W Valley Pkwy Ste J, Escondido, CA 92029-2138 | 2019-06-20 |
| 1073173860 | Omfs Care Center Partners | Dentist | 215 N Fresno St Ste 490, Fresno, CA 93701-0000 | 2019-06-14 |
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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.