DR. SHAZA MARDINI (NPI# 1780833087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780833087 |
| Entity Type | Individual |
| Full Name | DR. SHAZA MARDINI |
| Credential | DDS, MS |
| Practice Address |
2745 Via Villaggio Sacramento CA 95864-3788 |
| Practice Telephone | 9169969969 |
| Mailing Telephone | 9169969969 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
48957 | CA | Dental Providers |
| Street Address |
2745 VIA VILLAGGIO |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95864-3788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407239403 | Neda Afshar | Nurse Practitioner | 840 Laverstock Way, Sacramento, CA 95864 | 2015-07-08 |
| 1952738270 | Marshall Gollub | Psychiatry & Neurology | 1400 Jonas Ave., Sacramento, CA 95864 | 2013-10-01 |
| 1235565573 | Peter Alexander Hagens Jr. | Pharmacist | 930 Somersby Way, Sacramento, CA 95864 | 2013-09-18 |
| 1700054020 | Summit Psychotherapy Associates, PC | Psychologist | 3610 American River Drive, Suite 140, Sacramento, CA 95864 | 2008-02-20 |
| 1619917887 | Jayanthi Meena Kasiraj | Psychologist | 2708 Latham Drive, Sacramento, CA 95864 | 2006-06-07 |
| 1790259141 | Elizabeth Morales | Behavior Technician | 591 Watt Ave, Sacramento, CA 95864 | 2019-01-18 |
| 1033636261 | Sarah Leary | Speech-Language Pathologist | 3205 Hurley Way, Sacramento, CA 95864 | 2017-08-28 |
| 1063933786 | Kirsten Elisabeth Sorensen | Pharmacist | 3240 Arden Way, Sacramento, CA 95864 | 2017-07-03 |
| 1104298033 | Bufcsac PC | Clinic/Center | 4345 Arden Way, Sacramento, CA 95864 | 2015-10-30 |
| 1811323710 | Emily Renee Reisinger | Physician Assistant | 2625 Fair Oaks Blvd, #1, Sacramento, CA 95864 | 2013-09-24 |
| Find all providers in zip 95864 | ||||
| Taxonomy Code | 1223X0008X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Radiology |
| The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350485 | Katya Archambault | Dentist | 9245 Regents Rd Unit M208, La Jolla, CA 92037-9266 | 2019-01-16 |
| 1609101120 | Louis T Kircos | Dentist | 666 3rd St, Suite 222, San Rafael, CA 94901-3356 | 2009-10-16 |
| 1528200045 | Judy Janette Hurt | Dentist | 2920 F St Ste B2, Bakersfield, CA 93301-1829 | 2009-03-30 |
| 1316151202 | Montgomery Radiographic Svs | Dentist | 720 N Tustin Ave Ste 204, Santa Ana, CA 92705-3606 | 2007-05-09 |
| 1134253339 | Loma Linda University | Dentist | 11092 Anderson Street, Loma Linda, CA 92354 | 2007-03-16 |
| 1679580575 | Stuart C. White | Dentist | 10833 Le Conte Ave. Chs 10-165, Los Angeles, CA 90095-1668 | 2006-08-02 |
| 1396195483 | Shikha Rathi- Raythatha | Dentist | 2110 Professional Dr, Suite 101, Roseville, CA 95661-3752 | 2016-06-20 |
| 1366575490 | Francis H. Chung, Dds, Inc | Dentist | 2460 Mission St, Suite #109, San Francisco, CA 94110-2430 | 2007-03-14 |
| 1356476865 | Regents of University of California | Dentist | 10833 Le Conte Ave, Chs 10 -165, Los Angeles, CA 90095-1668 | 2007-02-23 |
| 1538247754 | Sotirios Tetradis | Dentist | 10833 Le Conte Ave, Chs 10-165, Los Angeles, CA 90095-1668 | 2006-11-02 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95864 |
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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.