DR. REZA BAHARLOO (NPI# 1770609737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770609737 |
| Entity Type | Individual |
| Full Name | DR. REZA BAHARLOO |
| Credential | D.D.S |
| Practice Address |
1279 E Vista Way Vista CA 92084-4039 |
| Mailing Address |
37879 Pratt Rd Temecula CA 92592 |
| Practice Telephone | 8326872152 |
| Mailing Telephone | 8326872152 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2017-04-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
64135 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
19027 | TX | Dental Providers |
| Street Address |
1279 E VISTA WAY |
| City | VISTA |
| State | CA |
| Zip Code | 92084-4039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376621599 | Devila J. Shah | Dentist | 1279 E Vista Way, Vista, CA 92084-4039 | 2006-11-02 |
| 1659853364 | Dr. D. Park Dds, Inc. | Dentist | 1279 E Vista Way, Vista, CA 92084-4039 | 2018-08-30 |
| 1831638329 | Viet Le | Dentist | 1279 E Vista Way, Vista, CA 92084 | 2017-02-16 |
| 1891945978 | Vivian R Sales | Dentist | 1279 E Vista Way, Vista, CA 92084-4039 | 2008-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912483421 | James Foster | Community Health Worker | 1020 S Santa Fe Ave Ste B1, Vista, CA 92084 | 2018-07-17 |
| 1750766192 | Olivia Del Valle | Dental Hygienist | 1000 Vale Tarrace, Vista, CA 92084 | 2015-07-28 |
| 1609288497 | May Tom | Dietitian, Registered | 29402 Spa Havens Way, Vista, CA 92084 | 2014-05-28 |
| 1972924454 | Erica Harris | Student in an Organized Health Care Education/Training Program | 300 Michigan Ave, Vista, CA 92084 | 2013-12-30 |
| 1023392008 | Timothy Wong | Pharmacist | 802 S Santa Fe Ave, Vista, CA 92084 | 2011-10-07 |
| 1811296288 | Jennifer Prince | Family Medicine | 1000 Vale Terrance Dr, Vista, CA 92084 | 2011-03-24 |
| 1093948424 | Deborah Denise Butcher | Psychologist | 1259 Sugarbush Drive, Vista, CA 92084 | 2009-09-02 |
| 1699922062 | Patricia Kay Oquist | Marriage & Family Therapist | 1370 Barbara Drive, Vista, CA 92084 | 2008-08-27 |
| 1376715045 | Steve Michael Nave | Dentist | 933 A Vale Terrace Drive, Vista, CA 92084 | 2008-04-02 |
| 1780868844 | Randell Brandon Murphy | Counselor | 1010 E Vista Way Suite F, Vista, CA 92084 | 2007-12-26 |
| Find all providers in zip 92084 | ||||
| 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 |
|---|---|---|---|---|
| 1558987487 | Ivana Racic | Dentist | 35 Main St Ste C130, Vista, CA 92083-5858 | 2020-06-16 |
| 1437618154 | Tri-city Dental Excellence | Dentist | 326 S Melrose Dr Ste 101, Vista, CA 92081-6618 | 2019-03-13 |
| 1205215613 | Sycamore Dental Associates | Dentist | 906 Sycamore Ave Ste 200, Vista, CA 92081-7851 | 2015-05-19 |
| 1700169323 | Melrose Square Dental Office | Dentist | 1680 S Melrose Dr Ste 108, Vista, CA 92081-5472 | 2011-09-20 |
| 1548587363 | Scott Eugene Krause | Dentist | 1001 E Vista Way, Suite 2, Vista, CA 92084-4603 | 2010-05-03 |
| 1316274749 | Mahtab Saadatmandi | Dentist | 2311 S. Melrose Dr., Vista, CA 92081 | 2009-11-05 |
| 1568629640 | Brenda Y Arao | Dentist | 1970 E Vista Way, Suite 202, Vista, CA 92084-3301 | 2008-05-17 |
| 1376715045 | Steve Michael Nave | Dentist | 933 A Vale Terrace Drive, Vista, CA 92084 | 2008-04-02 |
| 1235317041 | Derek L. Martin | Dentist | 1833 Goldenrod Ln, Vista, CA 92081-5342 | 2008-02-04 |
| 1659555076 | David Max Fellars | Dentist | 1000 E Vista Way, Vista, CA 92084-4602 | 2007-12-20 |
| Find all providers in VISTA | ||||
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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.