GANATRA DENTAL CORPORATION (NPI# 1730371931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730371931 |
| Entity Type | Organization |
| Organization Name | GANATRA DENTAL CORPORATION |
| Other Organization Name | SOCAL SMILES DENTISTRY |
| Practice Address |
12791newport Ave 200 Tustin CA 92780 |
| Mailing Address |
12791newport Ave Suite 200 Tustin CA 92780 |
| Practice Telephone | 7146650005 |
| Practice Fax Number | 7146650055 |
| Mailing Telephone | 7146650005 |
| Mailing Fax Number | 7146650055 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |
| Authorized Official Name | DR. RINESH GANATRA (DDS/PRESIDENT) |
| Authorized Official Telephone | 7146650005 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SoCal Smiles Dentistry | Doing Business As Name - Organization |
| Street Address |
12791NEWPORT AVE 200 |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261053 | Vitang Technology LLC | Clinic/Center | 14662 Franklin Ave Ste H, Tustin, CA 92780-7224 | 2020-09-28 |
| 1689214579 | Nguyen Turney Dental Corporation | Clinic/Center | 17400 Irvine Blvd Ste C, Tustin, CA 92780-3030 | 2020-01-09 |
| 1942769898 | Pierce Aesthetics Dental Group of Orange County | Clinic/Center | 2492 Walnut Ave Ste 250, Tustin, CA 92780-6963 | 2019-03-19 |
| 1538630132 | Yoshida Dental, Inc. | Clinic/Center | 137 W 1st St Ste B-2, Tustin, CA 92780-3204 | 2018-12-08 |
| 1225513583 | Amanda Rafi, Dmd Apdc | Clinic/Center | 14591 Newport Ave Ste 108, Tustin, CA 92780-6026 | 2018-10-02 |
| 1376021576 | Carmy Michael, Dds Corp. | Clinic/Center | 1442 Irvine Blvd Ste 105, Tustin, CA 92780-3845 | 2018-07-31 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1972030518 | Esther Kim Le Rdhap, Inc | Clinic/Center | 15251 Kensington Park Dr, Tustin, CA 92782-1807 | 2017-05-14 |
| 1578865135 | Ramyar Elyassian Dds Inc | Clinic/Center | 12721 Newport Ave Ste 3, Tustin, CA 92780-8031 | 2010-12-02 |
| 1578703864 | Seung M Kang, Dds Inc. | Clinic/Center | 15892 Pasadena Ave, Tustin, CA 92780-5415 | 2009-02-25 |
| Find all providers in TUSTIN | ||||
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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.