WEST VALLEY ENDODONTIC DENTAL GROUP (NPI# 1023407947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023407947 |
| Entity Type | Organization |
| Organization Name | WEST VALLEY ENDODONTIC DENTAL GROUP |
| Practice Address |
5363 Balboa Blvd Suite 534 Encino CA 91316-2805 |
| Practice Telephone | 8189866777 |
| Practice Fax Number | 8189866519 |
| Mailing Telephone | 8189866777 |
| Mailing Fax Number | 8189866519 |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |
| Authorized Official Name | DR. THOMAS A JOVICICH (OWNER) |
| Authorized Official Telephone | 8189866777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
36878 | CA | Dental Providers |
| Street Address |
5363 BALBOA BLVD SUITE 534 |
| City | ENCINO |
| State | CA |
| Zip Code | 91316-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083692800 | Daniel M Silver | Orthopaedic Surgery | 5363 Balboa Blvd, Suite 445a, Encino, CA 91316-2844 | 2006-01-03 |
| 1780137430 | Zaghi Md, A Professional Corporation | Behavioral Analyst | 5363 Balboa Blvd, Ste 446, Encino, CA 91316-2805 | 2016-07-29 |
| 1003369000 | Always Right Inc | Clinic/Center | 5363 Balboa Blvd, Encino, CA 91316-2805 | 2016-07-27 |
| 1538574868 | Encino Orthodontics | Dentist | 5363 Balboa Blvd, Suite 328, Encino, CA 91316-2805 | 2014-06-25 |
| 1396049201 | Ted D Evans | Psychologist | 5363 Balboa Blvd, Encino, CA 91316-2805 | 2011-01-06 |
| 1518285410 | Meredith Rimmer | Psychologist | 5363 Balboa Blvd, Suite 436, Encino, CA 91316-2805 | 2010-05-17 |
| 1154652113 | Breastlink Medical Group Inc | Surgery | 5363 Balboa Blvd, Suite 100, Encino, CA 91316-2805 | 2010-01-14 |
| 1093048365 | Bruce B Becker Md A Medical Corporation | Ophthalmology | 5363 Balboa Blvd, 246, Encino, CA 91316-2805 | 2009-09-17 |
| 1477720613 | Synergy Hematology Oncology Medical Associates, Inc. | Specialist | 5363 Balboa Blvd, Suite 345., Encino, CA 91316-2805 | 2008-05-15 |
| 1790958015 | Brynie S Collins | Pediatrics | 5363 Balboa Blvd, Suite 540, Encino, CA 91316-2805 | 2008-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883341 | Kerry Ann Mclean | Marriage & Family Therapist | 1777 Ventura Blvd Unit 103, Encino, CA 91316 | 2020-05-27 |
| 1336793124 | Achieve Speech Associates, Inc. | Clinic/Center | 17605 Ventura Boulevard, #302, Encino, CA 91316 | 2019-07-30 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| 1437634466 | New Spirit Recovery, LLC | Substance Abuse Rehabilitation Facility | 17856 Cathedral Pl., Encino, CA 91316 | 2018-09-25 |
| 1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
| 1932614310 | Hannah Esther Weinsrein | Marriage & Family Therapist | 17337 Ventura Blvd., Sutie #317, Encino, CA 91316 | 2017-12-07 |
| 1881118560 | Paula Miley | Marriage & Family Therapist | 5535 Balboa Blvd #202, Encino, CA 91316 | 2017-08-03 |
| 1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
| 1962857235 | Jessica Shlager | Occupational Therapist | 6345 Balboa Boulevard Suite 120, Encino, CA 91316 | 2016-04-25 |
| 1720432800 | Canyon West Los Angeles LLC | Clinic/Center | 17167 W. Ventura Boulevard, Encino, CA 91316 | 2016-04-14 |
| Find all providers in zip 91316 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740772524 | Ferras Mashtoub, Dds Inc. | Dentist | 5736 Wish Ave, Encino, CA 91316-1410 | 2018-06-06 |
| 1295281194 | Dianna Volk | Dentist | 16311 Ventura Blvd Ste 1250, Encino, CA 91436-1237 | 2016-08-30 |
| 1265988638 | John Oganesyan | Dentist | 4239 Whispering Pines Ct, Encino, CA 91316-4459 | 2016-08-26 |
| 1861669004 | Mahrouz Cohen | Dentist | 16311 Ventura Blvd Ste 1290, Encino, CA 91436-4389 | 2008-05-15 |
| 1497077895 | Moji M Bagheri | Dentist | 4924 Balboa Blvd, Suite 365, Encino, CA 91316-3402 | 2010-02-25 |
| 1851574693 | Rostam Forooghi | Dentist | 15720 Ventura Blvd, Suite# 311, Encino, CA 91436-2914 | 2007-12-16 |
| 1417154642 | Kourosh Keikhanzadeh | Dentist | 16661 Ventura Blvd, Suite #609, Encino, CA 91436-1914 | 2007-06-29 |
| 1124232640 | Thomas Jovicich | Dentist | 5363 Balboa Blvd, Suite 534, Encino, CA 91316-2805 | 2007-05-10 |
| 1033323555 | Jeffrey B Ballen | Dentist | 5363 Balboa Blvd, Suite 534, Encino, CA 91316-2805 | 2007-05-10 |
| 1558484535 | Rambod Kamrava | Dentist | 5400 Balboa Blvd, #327, Encino, CA 91316 | 2007-04-06 |
| 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.