JASON MIRABILE DENTAL CORP (NPI# 1780072199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780072199 |
Entity Type | Organization |
Organization Name | JASON MIRABILE DENTAL CORP |
Other Organization Name | IHATETHEDENTIST.COM |
Practice Address |
1304 15th St 305 Santa Monica CA 90404-1809 |
Practice Telephone | 3103199300 |
Practice Fax Number | 3103199320 |
Mailing Telephone | 3103199300 |
Mailing Fax Number | 3103199320 |
Enumeration Date | 2015-01-07 |
Last Update Date | 2015-01-12 |
Authorized Official Name | DR. JASON MIRABILE (DENTIST) |
Authorized Official Telephone | 3103199300 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305R00000X | Preferred Provider Organization | 49147 | CA | Managed Care Organizations |
Other Name | Type Code |
---|---|
IHateTheDentist.com | Doing Business As Name - Organization |
Street Address |
1304 15TH ST 305 |
City | SANTA MONICA |
State | CA |
Zip Code | 90404-1809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407851751 | Rita Weisberg | Dentist | 1304 15th St, Ste 315, Santa Monica, CA 90404-1812 | 2005-06-14 |
1932640463 | Farinoush Gaminchi Dmd Inc | Dentist | 1304 15th St, Ste 315, Santa Monica, CA 90404-1809 | 2017-03-16 |
1508296435 | Feder Mashkouri Dental Partnership | Dentist | 1304 15th St, Suite 200, Santa Monica, CA 90404-1809 | 2013-11-13 |
1083055859 | Jane Alpert | Marriage & Family Therapist | 1304 15th St, Suite 202, Santa Monica, CA 90404-1809 | 2013-07-09 |
1659651859 | Termeh Erika Toufanian | Physical Therapist | 1304 15th St, Suite 407, Santa Monica, CA 90404-1809 | 2011-08-19 |
1528360575 | Claire La Bauve | Physical Therapist | 1304 15th St, Santa Monica, CA 90404-1809 | 2010-11-24 |
1790014306 | Maria Melissa D. Francisco | Dentist | 1304 15th St, #209, Santa Monica, CA 90404-1809 | 2009-12-10 |
1346497328 | University Cardiovascular Medical Group | Clinic/Center | 1304 15th St, Suite 102, Santa Monica, CA 90404-1809 | 2008-08-21 |
1770740441 | Mona Queena Cho Elsea | Emergency Medicine | 1304 15th St, Suite 202, Santa Monica, CA 90404-1809 | 2008-05-20 |
1457521361 | Joseph Ceravolo Dds Inc | Dentist | 1304 15th St, Ste 314, Santa Monica, CA 90404-1809 | 2008-03-06 |
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 | 305R00000X |
Grouping | Managed Care Organizations |
Classification | Preferred Provider Organization |
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851734057 | Vert Physical Therapy La Lp | Preferred Provider Organization | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 | 2013-04-08 |
NPI | Name | Taxonomy | Address | Enumeration |
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1154961142 | Hoag Physcian Partners | Preferred Provider Organization | 16148 Sand Canyon Ave Fl 2, Irvine, CA 92618-3700 | 2020-01-08 |
1356806525 | Premierone Plus Aco | Preferred Provider Organization | 1210 N Jefferson St Ste D, Anaheim, CA 92807-1630 | 2019-02-01 |
1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
1184100471 | Care Allies Ipa, Inc | Preferred Provider Organization | 1211 W La Palma Ave Ste 309, Anaheim, CA 92801-2811 | 2018-07-19 |
1245723071 | Pacific Associates Medical Group, Inc. | Preferred Provider Organization | 9900 Lakewood Blvd Ste 103, Downey, CA 90240-4039 | 2018-06-06 |
1821585266 | Anthony Nguyen Dds Inc | Preferred Provider Organization | 1125 E 17th St Ste N156, Santa Ana, CA 92701-2215 | 2018-04-20 |
1275038051 | Ryan Lange D.m.d. Inc. | Preferred Provider Organization | 17897 Macarthur Blvd Ste 100, Irvine, CA 92614-0532 | 2018-03-26 |
1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
Find all providers with the same taxonomy |
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.