FARD & MASTOUR DENTAL CORP (NPI# 1962813881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962813881 |
| Entity Type | Organization |
| Organization Name | FARD & MASTOUR DENTAL CORP |
| Other Organization Name | ENCINO ESTHETICS DENTAL GROUP |
| Practice Address |
15720 Ventura Blvd Ste 514 Encino CA 91436-4722 |
| Mailing Address |
15720 Ventura Blvd Encino CA 91436-2914 |
| Practice Telephone | 8189906653 |
| Practice Fax Number | 8189905525 |
| Mailing Telephone | 8189906653 |
| Mailing Fax Number | 8189905525 |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | DR. ARASH SABBAGH-FARD (DENTIST/OWNER) |
| Authorized Official Telephone | 8189906653 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
48007 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTAL LICENSE | 47525 | 01 |
| CA | DENTAL LICENSE | 48007 | 01 |
| Other Name | Type Code |
|---|---|
| Encino Esthetics Dental Group | Doing Business As Name - Organization |
| Street Address |
15720 VENTURA BLVD STE 514 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-4722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
| Find all providers in zip 91436 | ||||
| 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 |
|---|---|---|---|---|
| 1356963318 | Dr Mahooti Dental Practice Inc. | Dentist | 16500 Ventura Blvd Ste 150, Encino, CA 91436-2009 | 2020-05-13 |
| 1780237032 | Shermineh Zadeh | Dentist | 16133 Ventura Blvd Ste 445, Encino, CA 91436-2429 | 2019-07-16 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1255735163 | Amir Jamsheed Professional Dental Corp. | Dentist | 16055 Ventura Blvd Ste 1126, Encino, CA 91436-2612 | 2014-10-21 |
| 1952678922 | Pouyan & Khanideh Dental Corporation | Dentist | 15720 Ventura Blvd Ste 609, Encino, CA 91436-4733 | 2011-11-18 |
| 1639456544 | Ecaterina Anetta Krausz | Dentist | 16542 Ventura Blvd Ste 505, Encino, CA 91436-4576 | 2011-11-05 |
| 1528369477 | Beata Pezeshki | Dentist | 3467 Ardsley Pl, Encino, CA 91436-4023 | 2010-11-09 |
| 1467784595 | Bahareh Safaie | Dentist | 16101 Ventura Blvd Ste 350, Encino, CA 91436-2516 | 2010-01-29 |
| 1336399310 | Marian Daoud Yassa | Dentist | 16550 Ventura Blvd # 316, Encino, CA 91436-2004 | 2008-09-25 |
| 1336314756 | Cynthia J. Fineman | Dentist | 3224 Steven Dr, Encino, CA 91436-4226 | 2008-04-26 |
| Find all providers in ENCINO | ||||
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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.