DR. EDMOND AHDOOT (NPI# 1770856528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770856528 |
| Entity Type | Individual |
| Full Name | DR. EDMOND AHDOOT |
| Credential | D.D.S. |
| Practice Address |
1260 15th St Suite 805 Santa Monica CA 90404-1135 |
| Mailing Address |
1051 Van Buren Ave Venice CA 90291-5026 |
| Practice Telephone | 3103931785 |
| Mailing Telephone | 2404769458 |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
61163 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275093163 | Edmond Ahdoot | Student in an Organized Health Care Education/Training Program | 350 E 17th St Fl 20, New York, NY 10003-3805 | 2019-03-25 |
| Street Address |
1260 15TH ST SUITE 805 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497748818 | Swiss Balance Inc | Prosthetic/Orthotic Supplier | 1260 15th St, Ste 1402, Santa Monica, CA 90404-1135 | 2005-08-31 |
| 1609249408 | Regents of The University of California | Urology | 1260 15th St, Suite 1200, Santa Monica, CA 90404-1135 | 2015-11-03 |
| 1447646682 | Safina Aulakh | Naturopath | 1260 15th St, Suite 1101, Santa Monica, CA 90404-1135 | 2015-04-14 |
| 1447503826 | Gregory Scott Jack | Urology | 1260 15th St, 1200, Santa Monica, CA 90404-1135 | 2012-10-22 |
| 1891053559 | Regents of The Univ of California | Durable Medical Equipment & Medical Supplies | 1260 15th St, Suite 900, Santa Monica, CA 90404-1135 | 2012-05-01 |
| 1124385059 | Daniel L. Altchuler, Dpm, Podiatry Corporation | Non-Pharmacy Dispensing Site | 1260 15th St, Suite 1020, Santa Monica, CA 90404-1135 | 2012-04-17 |
| 1548532344 | Sarah Frances D'ambruoso | Registered Nurse | 1260 15th St, Santa Monica, CA 90404-1135 | 2012-02-08 |
| 1477824175 | Paul Carlo | Social Worker | 1260 15th St, Ste 920, Santa Monica, CA 90404 | 2012-01-26 |
| 1619248184 | Stacey C Carter | Urology | 1260 15th St, Suite 1200, Santa Monica, CA 90404-1135 | 2012-01-15 |
| 1639478050 | The Regents of The University of California | Durable Medical Equipment & Medical Supplies | 1260 15th St, Suite 900, Santa Monica, CA 90404-1135 | 2011-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| 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 |
|---|---|---|---|---|
| 1013524800 | Shantel Noghrey Ramin | Dentist | 2903 Delaware Ave, Santa Monica, CA 90404-5014 | 2020-09-25 |
| 1255993069 | Omeed Mahboobian | Dentist | 829 26th St, Santa Monica, CA 90403-2201 | 2019-07-01 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1265815369 | Kevin Lee | Dentist | 1821 Wilshire Blvd Ste 646, Santa Monica, CA 90403-5674 | 2015-07-07 |
| 1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
| 1922309574 | Adrienne Vera Hecht | Dentist | 1317 26th St Apt 2, Santa Monica, CA 90404-2020 | 2010-11-13 |
| 1316253016 | William Chin | Dentist | 1253 7th St, Suite 200, Santa Monica, CA 90401-1617 | 2010-08-19 |
| 1134431513 | Benjamin Freed | Dentist | 2730 Wilshire Blvd Ste 201, Santa Monica, CA 90403-4744 | 2010-07-13 |
| 1275782641 | Elliot Paul Schlang Dds Professional Corporation | Dentist | 240 18th St, Santa Monica, CA 90402-2404 | 2008-09-10 |
| 1932355385 | David Youssefi | Dentist | 2428 Santa Monica Blvd Ste 403, Santa Monica, CA 90404-2047 | 2008-08-15 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
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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.