DR. SHAHNAZ L FORMOLI (NPI# 1134316706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134316706 |
| Entity Type | Individual |
| Full Name | DR. SHAHNAZ L FORMOLI |
| Credential | DDS |
| Practice Address |
4360 Arden Way #3 Sacramento CA 95864-3153 |
| Practice Telephone | 9164854800 |
| Practice Fax Number | 9164834806 |
| Mailing Telephone | 9164854800 |
| Mailing Fax Number | 9164834806 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
43149 | CA | Dental Providers |
| Street Address |
4360 ARDEN WAY #3 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95864-3153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578614186 | James H Mucci, Dds, Inc. | Dentist | 4360 Arden Way, Suite 5, Sacramento, CA 95864-3153 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407239403 | Neda Afshar | Nurse Practitioner | 840 Laverstock Way, Sacramento, CA 95864 | 2015-07-08 |
| 1952738270 | Marshall Gollub | Psychiatry & Neurology | 1400 Jonas Ave., Sacramento, CA 95864 | 2013-10-01 |
| 1235565573 | Peter Alexander Hagens Jr. | Pharmacist | 930 Somersby Way, Sacramento, CA 95864 | 2013-09-18 |
| 1700054020 | Summit Psychotherapy Associates, PC | Psychologist | 3610 American River Drive, Suite 140, Sacramento, CA 95864 | 2008-02-20 |
| 1619917887 | Jayanthi Meena Kasiraj | Psychologist | 2708 Latham Drive, Sacramento, CA 95864 | 2006-06-07 |
| 1790259141 | Elizabeth Morales | Behavior Technician | 591 Watt Ave, Sacramento, CA 95864 | 2019-01-18 |
| 1033636261 | Sarah Leary | Speech-Language Pathologist | 3205 Hurley Way, Sacramento, CA 95864 | 2017-08-28 |
| 1063933786 | Kirsten Elisabeth Sorensen | Pharmacist | 3240 Arden Way, Sacramento, CA 95864 | 2017-07-03 |
| 1104298033 | Bufcsac PC | Clinic/Center | 4345 Arden Way, Sacramento, CA 95864 | 2015-10-30 |
| 1811323710 | Emily Renee Reisinger | Physician Assistant | 2625 Fair Oaks Blvd, #1, Sacramento, CA 95864 | 2013-09-24 |
| Find all providers in zip 95864 | ||||
| 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 |
|---|---|---|---|---|
| 1639784424 | Jonathan Robert Hayes | Dentist | 605 Commons Dr, Sacramento, CA 95825-6633 | 2020-09-09 |
| 1942814512 | Karisa Yamamoto | Dentist | 786 Still Breeze Way, Sacramento, CA 95831-5548 | 2020-09-01 |
| 1659981447 | Michael Steven Louie | Dentist | 7608 Bridgeview Dr, Sacramento, CA 95831-4235 | 2020-08-05 |
| 1902426950 | Yen Hai Nguyen | Dentist | 5870 Da Vinci Way, Sacramento, CA 95835-2326 | 2020-04-20 |
| 1598302432 | Alix Angelica Torres | Dentist | 7227 29th St Ste C, Sacramento, CA 95822-5005 | 2019-12-10 |
| 1912558289 | Yevhen Usachov | Dentist | 6175 Stockton Blvd Ste 260, Sacramento, CA 95824-4521 | 2019-09-26 |
| 1982250171 | Michelle Fat | Dentist | 99 Scripps Dr Ste 100, Sacramento, CA 95825-6317 | 2019-08-13 |
| 1639737414 | Katherine Co Tan | Dentist | 7850 Stockton Blvd Ste 160, Sacramento, CA 95823-4387 | 2019-06-05 |
| 1992362792 | Barnes Dentral Group, Inc | Dentist | 701 Howe Ave Ste B34, Sacramento, CA 95825-4604 | 2019-05-28 |
| 1679039960 | Reymond Bautista Dental Corporation | Dentist | 3640 Crocker Ave Ste 130, Sacramento, CA 95818-3970 | 2019-02-12 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95864 |
Please comment or provide details below to improve the information on DR. SHAHNAZ L FORMOLI.
| 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.