JASON MIRABILE DENTAL CORP


Address: 1304 15th St, 305, Santa Monica, CA 90404-1809
Phone: 3103199300

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization 49147 CA Managed Care Organizations

Other Provider/Organization Names

Other Name Type Code
IHateTheDentist.com Doing Business As Name - Organization

Office Location

Street Address 1304 15TH ST
305
City SANTA MONICA
State CA
Zip Code 90404-1809

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
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Competitor

Search similar providers

City SANTA MONICA
Zip Code 90404

Improve Information

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Dataset Information

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.

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