K KOHANI D D S A PROFESSIONAL CORPORATION (NPI# 1932501640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932501640 |
| Entity Type | Organization |
| Organization Name | K KOHANI D D S A PROFESSIONAL CORPORATION |
| Other Organization Name | COSTA VERDE DENTISTRY & ORTHODONIC |
| Practice Address |
4510 Executive Dr Suite 205 San Diego CA 92121-3021 |
| Practice Telephone | 8586221007 |
| Practice Fax Number | 8586221058 |
| Mailing Telephone | 8586221007 |
| Mailing Fax Number | 8586221058 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2015-05-26 |
| Authorized Official Name | DR. KAMI KOHANI (OWNER) |
| Authorized Official Telephone | 18586221007 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
39290 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE NPI | 1972710663 | 01 |
| Other Name | Type Code |
|---|---|
| Costa Verde Dentistry & Orthodonic | Other Name - Individual/Organization |
| Street Address |
4510 EXECUTIVE DR SUITE 205 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538153747 | James Raymond Moitoza | Orthopaedic Surgery | 4510 Executive Dr, Suite 125, San Diego, CA 92121-3021 | 2005-09-01 |
| 1255999736 | Chelsea Vanderwoude | Student in an Organized Health Care Education/Training Program | 4510 Executive Dr, San Diego, CA 92121-3021 | 2019-05-30 |
| 1164959433 | Keri Anne O'connor | Registered Nurse | 4510 Executive Dr, San Diego, CA 92121-3021 | 2017-05-17 |
| 1891230868 | Kaizen Brain Center | Psychiatry & Neurology | 4510 Executive Dr, Suite 107, San Diego, CA 92121-3021 | 2016-12-30 |
| 1285179614 | Hatem Abou-sayed Md Mba Facs - A Professional Medical Corporation | Plastic Surgery | 4510 Executive Dr, Suite 105, San Diego, CA 92121-3021 | 2016-12-20 |
| 1508310319 | Ana Ramirez | Psychologist | 4510 Executive Dr, Suite 315, San Diego, CA 92121-3021 | 2016-08-09 |
| 1457711657 | Achieve Tms Centers, LLC | Psychiatry & Neurology | 4510 Executive Dr, 115, San Diego, CA 92121-3021 | 2016-03-01 |
| 1306263470 | Eric Lamarca | Radiologic Technologist | 4510 Executive Dr, Suite 125, San Diego, CA 92121-3021 | 2014-03-26 |
| 1902220809 | Shashita Inamdar Md Professional Corporation | Psychiatry & Neurology | 4510 Executive Dr, Ste 115, San Diego, CA 92121-3021 | 2014-02-12 |
| 1457773699 | R.p. Dunnum, M.d. Inc. | Preventive Medicine | 4510 Executive Dr, Suite 107, San Diego, CA 92121-3021 | 2014-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| 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 |
|---|---|---|---|---|
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1831797489 | Lily Neskin | Dentist | 4454 Shorepointe Way, San Diego, CA 92130-8635 | 2020-10-15 |
| 1487251294 | Zeki Abdulaali | Dentist | 1501 India St Unit 607, San Diego, CA 92101-2449 | 2020-10-05 |
| 1629681895 | Elizabeth Rodriguez | Dentist | 14701 Via Bettona Ste 215, San Diego, CA 92127-4808 | 2020-08-27 |
| 1679183602 | Hayat Fahliogullari-smith | Dentist | 1281 9th Ave Unit 1309, San Diego, CA 92101-4655 | 2020-08-04 |
| 1235768631 | Virgnia Padua Mattson D.m.d. | Dentist | 11717 Bernardo Plaza Ct Ste 100, San Diego, CA 92128-2419 | 2020-04-07 |
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1215568043 | Hage Dental Corporation | Dentist | 3365 Rosecrans St Ste C, San Diego, CA 92110-4256 | 2020-01-30 |
| 1275174310 | Yige Zhao Dental Corporation | Dentist | 9840 Carmel Mountain Rd, San Diego, CA 92129-2812 | 2019-09-30 |
| 1083255111 | Wayne David Gonzales | Dentist | 8031 Linda Vista Rd # 210, San Diego, CA 92111-5110 | 2019-09-30 |
| Find all providers in SAN DIEGO | ||||
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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.