DR. SAMUEL GEGAMIAN (NPI# 1063620383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063620383 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL GEGAMIAN |
| Credential | DMD |
| Practice Address |
336 1/2 N Mariposa Ave Los Angeles CA 90004-4404 |
| Practice Telephone | 8182765603 |
| Mailing Telephone | 8182765603 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
58035 | CA | Dental Providers |
| Street Address |
336 1/2 N MARIPOSA AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90004-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225504160 | Jessica M. Louie | Pharmacist | 590 North Vermont Avenue, Suite 334, Los Angeles, CA 90004 | 2018-10-18 |
| 1033615828 | Javier G Ibarra | Counselor | 3910 Oakwood Ave., Los Angeles, CA 90004 | 2018-04-02 |
| 1558804351 | Bhc Alhamba Hospital | Psychiatric Residential Treatment Facility | 115 N. Mccadden Place, Los Angeles, CA 90004 | 2016-11-28 |
| 1275907719 | Rozalin Banafsheian | Psychologist | 522 N. Larchmont, Los Angeles, CA 90004 | 2015-11-20 |
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1760888226 | Hardy Ophuls | Marriage & Family Therapist | 439 N. Larchmont Bl., Los Angeles, CA 90004 | 2014-11-11 |
| 1528462991 | Latrice Nicole Hardison | Licensed Vocational Nurse | 225 N. Mariposa Ave, Los Angeles, CA 90004 | 2014-10-14 |
| 1215331947 | Shonn Bunn | Rehabilitation Practitioner | 433 N. Hoover, Los Angeles, CA 90004 | 2014-10-09 |
| 1609296581 | Michael Armen Kezian | Dentist | 581 N Larchmont Blvd, Los Angeles, CA 90004 | 2014-04-18 |
| 1427485549 | Kir Medical Group | Family Medicine | 123 177th Street, Los Angeles, CA 90004 | 2013-10-03 |
| Find all providers in zip 90004 | ||||
| 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 |
|---|---|---|---|---|
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1295291276 | Kevin B. Seto, D.d.s, M.s., P.C. | Dentist | 8930 S Sepulveda Blvd Ste 101, Los Angeles, CA 90045-3606 | 2019-02-14 |
| 1063978252 | Chang Kattar Dental Corporation | Dentist | 8540 S Sepulveda Blvd Ste 1210, Los Angeles, CA 90045-3819 | 2019-02-13 |
| 1407334683 | Jose Ignacio Perea | Dentist | 12300 Wilshire Blvd Ste 404, Los Angeles, CA 90025-1061 | 2018-07-31 |
| 1336675354 | Berlin and Levitt Dental Partnership | Dentist | 1050 S Grand Ave, Suite 2, Los Angeles, CA 90015-4284 | 2017-05-11 |
| 1851832703 | Ana Paola Meneses Zambrano | Dentist | 11905 S Central Ave Ste 203, Los Angeles, CA 90059-2897 | 2017-03-12 |
| 1629407135 | Hiri Etessami | Dentist | 9201 W Sunset Blvd Ste 908, Los Angeles, CA 90069-3710 | 2013-11-05 |
| 1750646261 | Reuben Johnson | Dentist | 5127 Parkglen Ave, Los Angeles, CA 90043-1033 | 2012-07-10 |
| 1932499100 | Roberto Roges | Dentist | 8540 S Sepulveda Blvd Ste 1117, Los Angeles, CA 90045-3819 | 2011-04-08 |
| 1063725638 | Pejman Parsa | Dentist | 10921 Wilshire Blvd Ste 1203, Los Angeles, CA 90024-4005 | 2010-07-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90004 |
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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.