DR. FRANK MARIO ANTONIO VIDJAK (NPI# 1982757100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982757100 |
| Entity Type | Individual |
| Full Name | DR. FRANK MARIO ANTONIO VIDJAK |
| Credential | DDS |
| Practice Address |
465 N Roxbury Dr Suite # 703 Beverly Hills CA 90210-4206 |
| Practice Telephone | 3102482786 |
| Practice Fax Number | 3102482886 |
| Mailing Telephone | 3102482786 |
| Mailing Fax Number | 3102482886 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
33397 | CA | Dental Providers |
| Street Address |
465 N ROXBURY DR SUITE # 703 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90210-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295737070 | Roxsan Pharmacy, Inc | Pharmacy | 465 N Roxbury Dr, Beverly Hills, CA 90210-4206 | 2005-08-11 |
| 1427582246 | Oasis Anesthesia LLC | Nurse Anesthetist, Certified Registered | 465 N Roxbury Dr, Suite 1001, Beverly Hills, CA 90210-4206 | 2017-04-18 |
| 1881146298 | Bhc Surgical Group, Inc | Clinic/Center | 465 N Roxbury Dr, Suite 750, Beverly Hills, CA 90210-4206 | 2016-11-02 |
| 1265882161 | William J Rahal Md PC | General Acute Care Hospital | 465 N Roxbury Dr, Penthouse Suite, Beverly Hills, CA 90210-4206 | 2016-06-21 |
| 1770939951 | Randal Haworth | Surgery | 465 N Roxbury Dr, Suite 901, Beverly Hills, CA 90210-4206 | 2016-05-06 |
| 1053788786 | Roxsan Pharmacy, Inc. | Pharmacy | 465 N Roxbury Dr, Beverly Hills, CA 90210-4206 | 2015-08-28 |
| 1750763736 | Gabriel Gabbaypour,dds, Md, Inc | Clinic/Center | 465 N Roxbury Dr, Suite 815, Beverly Hills, CA 90210-4206 | 2015-06-25 |
| 1730583808 | 90210 Surgical Associates LLC | Clinic/Center | 465 N Roxbury Dr, Suite 1020, Beverly Hills, CA 90210-4206 | 2014-10-17 |
| 1508286717 | Josef Hadeed, Md, Inc | Plastic Surgery | 465 N Roxbury Dr, Suite 1020, Beverly Hills, CA 90210-4206 | 2014-04-27 |
| 1801224944 | Daniela Pavlin Dds Inc. | Dentist | 465 N Roxbury Dr, Suite 811, Beverly Hills, CA 90210-4206 | 2013-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
| 1043834765 | Sheryl Kipper Weissberg | Marriage & Family Therapist | 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 | 2020-05-29 |
| 1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
| 1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
| 1861983884 | Beverly Hills Hair Free Corp | Contractor | 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 | 2018-05-24 |
| 1245745389 | Richard L Gilbert | Marriage & Family Therapist | 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 | 2017-12-12 |
| 1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
| 1538683677 | Bh Therapy Corp. | Psychologist | 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 | 2017-07-31 |
| 1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
| 1104287077 | Eva Silegy | Nurse Anesthetist, Certified Registered | 465 N. Roxbury Drive, Beverly Hills, CA 90210 | 2016-03-18 |
| Find all providers in zip 90210 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003174467 | Xuan Yue | Dentist | 8920 Wilshire Blvd Ste 406, Beverly Hills, CA 90211-2004 | 2012-04-23 |
| 1922390079 | Tarek Abdelhalim | Dentist | 9735 Wilshire Blvd Ste 215, Beverly Hills, CA 90212-2110 | 2011-05-09 |
| 1942332622 | Mojdeh Shayestehfar | Dentist | 350 S Beverly Dr, Suite 180, Beverly Hills, CA 90212-4811 | 2007-03-09 |
| 1063513976 | Alan E Zweig | Dentist | 433 N Camden Drive, Suite 1133, Beverly Hills, CA 90210 | 2006-09-25 |
| 1407227887 | Careen W Young | Dentist | 435 N Roxbury Dr, Ste 411, Beverly Hills, CA 90210-5027 | 2015-10-12 |
| 1013306430 | Harel Simon | Dentist | 416 N Bedford Dr, Suite #404, Beverly Hills, CA 90210-4322 | 2015-01-22 |
| 1336537851 | Ronald Sloan | Dentist | 350 S Beverly Dr, Suite 180, Beverly Hills, CA 90212-4811 | 2015-01-06 |
| 1891110219 | Behnam B. Baseri, Dds. Inc. | Dentist | 269 S Beverly Dr, 108, Beverly Hills, CA 90212-3851 | 2014-02-21 |
| 1588907471 | Rahmat Nassi | Dentist | 9025 Wilshire Blvd Ste 415, Beverly Hills, CA 90211-1828 | 2013-03-29 |
| 1033450721 | Tzur S Gabi | Dentist | 269 S Beverly Dr, Ste 914, Beverly Hills, CA 90212-3851 | 2013-03-06 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90210 |
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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.