GRIGORY ROZENVICH D.D.S., INC. (NPI# 1912196171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912196171 |
| Entity Type | Organization |
| Organization Name | GRIGORY ROZENVICH D.D.S., INC. |
| Practice Address |
3620 S. Bristol St. Suite 210 Santa Ana CA 92704 |
| Practice Telephone | 7145491409 |
| Practice Fax Number | 7145492118 |
| Mailing Telephone | 7145491409 |
| Mailing Fax Number | 7145492118 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2015-05-06 |
| Authorized Official Name | GRIGORY ROZENOVICH (PRESIDENT) |
| Authorized Official Telephone | 7145491409 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 40115 | CA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE OF CA. DENTI-CAL | B40115 01 | 01 |
| PA | UNITED CONCORDIA | 973695 | 01 |
| CA | PACIFICARE | 7120 | 01 |
| Street Address |
3620 S. BRISTOL ST. SUITE 210 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518142900 | Vanessa Lynn Bechtol | Dentist | 3620 S. Bristol St., Suite 210, Santa Ana, CA 92704 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437771805 | Mohammad Abul-fielat Dds Inc | Dentist | 2341 S Bristol Street, Santa Ana, CA 92704 | 2020-05-08 |
| 1639728538 | Dorothy A Powell | Technician | 722 S. Arapaho Dr, Santa Ana, CA 92704 | 2019-09-04 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1215414024 | Sonia Molina | Dietitian, Registered | 2100 W Alton Ave Ste 2, Santa Ana, CA 92704 | 2018-07-24 |
| 1558854612 | Laura Fessler | Nurse Practitioner | 3501 S. Harbor Blvd, Santa Ana, CA 92704 | 2018-06-12 |
| 1104317940 | The Mend of California, LLC | Substance Abuse Rehabilitation Facility | 1909 W. Carlton Place, Santa Ana, CA 92704 | 2018-05-29 |
| 1154811784 | Phleetbo LLC | In Home Supportive Care | 3760 W Mcfadden Ave # B164, Santa Ana, CA 92704 | 2018-05-18 |
| 1588151393 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 3501 S Harbor Blvd Ste 140-b, Santa Ana, CA 92704 | 2018-04-17 |
| 1952811978 | Rising Roads Recovery Services for Women, LLC | Substance Abuse Rehabilitation Facility | 2750 S Harbor Blvd Ste G, Santa Ana, CA 92704 | 2017-10-04 |
| 1427577907 | Advance Oc Surgical Inc. | Clinic/Center | 3500 S. Bristol St., Suite 200, Santa Ana, CA 92704 | 2017-09-15 |
| Find all providers in zip 92704 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "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. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700123346 | Coast2coast Dx | Exclusive Provider Organization | 600 N Tustin Ave, Suite 110, Santa Ana, CA 92705-3736 | 2013-01-15 |
| 1114160892 | First Bristol Optometry | Exclusive Provider Organization | 1601 W 1st St, Suite C, Santa Ana, CA 92703-3670 | 2009-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407464290 | Carrot Fertility, Inc. | Exclusive Provider Organization | 47 Lusk St, San Francisco, CA 94107-1730 | 2020-07-17 |
| 1114573789 | Ed Sped Solutions, Inc. | Exclusive Provider Organization | 39159 Paseo Padre Pkwy Ste 205, Fremont, CA 94538-1623 | 2019-08-09 |
| 1114571916 | Kern Health Systems | Exclusive Provider Organization | 2900 Buck Owens Blvd., Bakersfield, CA 93308 | 2019-07-30 |
| 1962065904 | Stork Club Fertility, Inc. | Exclusive Provider Organization | 1 Bluxome Street, Suite 203, San Francisco, CA 94107-5518 | 2019-04-16 |
| 1023589249 | Janie Isabelle Currey | Exclusive Provider Organization | 30183 Cove View St, Canyon Lake, CA 92587-7981 | 2018-12-16 |
| 1922586114 | Primary Care Associates of California of San Diego, Inc. | Exclusive Provider Organization | 10833 Valley View St Ste 570, Cypress, CA 90630-5061 | 2018-07-31 |
| 1962949057 | Sol Play Child Therapy Inc | Exclusive Provider Organization | 5811 Amaya Dr Ste 204, La Mesa, CA 91942-4156 | 2017-01-26 |
| 1841735511 | E.moawad Dental Corporation | Exclusive Provider Organization | 402 S Long Beach Blvd, Compton, CA 90221-3428 | 2017-01-04 |
| 1538512744 | Azila Katherine Sabile Ortiz | Exclusive Provider Organization | 15260 Amalia St, San Diego, CA 92129-1228 | 2016-07-22 |
| 1730534330 | Northern California Physicians Network Inc | Exclusive Provider Organization | 2331 Montpelier Dr, San Jose, CA 95116-1688 | 2016-05-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GRIGORY ROZENVICH D.D.S., INC..
| 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.