MAHALLATI DENTAL CORPORATION (NPI# 1144210105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144210105 |
| Entity Type | Organization |
| Organization Name | MAHALLATI DENTAL CORPORATION |
| Other Organization Name | BAY DENTAL |
| Practice Address |
3620 S Bristol St Suite #307 Santa Ana CA 92704-7300 |
| Practice Telephone | 7145402836 |
| Practice Fax Number | 7145404986 |
| Mailing Telephone | 7145402836 |
| Mailing Fax Number | 7145404986 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SHAHIN HASHEMBEIK MAHALLATI (PRESIDENT) |
| Authorized Official Telephone | 7145402836 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 43194 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Bay Dental | Doing Business As Name - Organization |
| Street Address |
3620 S BRISTOL ST SUITE #307 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92704-7300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649648825 | Fereshteh Kheyrdan | Dentist | 3620 S Bristol St, Suit # 104, Santa Ana, CA 92704-7300 | 2015-09-04 |
| 1609283126 | Fereshteh Kheyrdan, D.d.s., Inc. | Dentist | 3620 S Bristol St, Suit # 104, Santa Ana, CA 92704-7300 | 2014-07-16 |
| 1962834879 | Navid Mansour Ghods | Dentist | 3620 S Bristol St, Suite #104, Santa Ana, CA 92704-7300 | 2013-08-01 |
| 1487931598 | Shahin Mahallati | Dentist | 3620 S Bristol St, Ste. #307, Santa Ana, CA 92704-7300 | 2011-11-03 |
| 1942444518 | Hiroshi Murotani | Dentist | 3620 S Bristol St, Suite 209, Santa Ana, CA 92704-7300 | 2009-04-28 |
| 1871760827 | Roney Chiropractic Corp | Chiropractor | 3620 S Bristol St, 106, Santa Ana, CA 92704-7300 | 2008-05-09 |
| 1437324555 | Jerome N. Peterson D.d.s. Inc. | Point of Service | 3620 S Bristol St, #302, Santa Ana, CA 92704-7300 | 2008-04-29 |
| 1780885616 | Jaime Mata | Dentist | 3620 S Bristol St, Ste.306, Santa Ana, CA 92704-7300 | 2007-05-29 |
| 1942415831 | James K. Chen, D.d.s., Inc | Dentist | 3620 S Bristol St, Suite 301, Santa Ana, CA 92704-7300 | 2007-05-13 |
| 1932322260 | Paul Paek Chon | Dentist | 3620 S Bristol St, Suite 206, Santa Ana, CA 92704-7300 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437771805 | Mohammad Abul-fielat Dds Inc | Dentist | 2341 S Bristol Street, Santa Ana, CA 92704 | 2020-05-08 |
| 1639728538 | Dorothy A Powell | Technician | 722 S. Arapaho Dr, Santa Ana, CA 92704 | 2019-09-04 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1215414024 | Sonia Molina | Dietitian, Registered | 2100 W Alton Ave Ste 2, Santa Ana, CA 92704 | 2018-07-24 |
| 1558854612 | Laura Fessler | Nurse Practitioner | 3501 S. Harbor Blvd, Santa Ana, CA 92704 | 2018-06-12 |
| 1104317940 | The Mend of California, LLC | Substance Abuse Rehabilitation Facility | 1909 W. Carlton Place, Santa Ana, CA 92704 | 2018-05-29 |
| 1154811784 | Phleetbo LLC | In Home Supportive Care | 3760 W Mcfadden Ave # B164, Santa Ana, CA 92704 | 2018-05-18 |
| 1588151393 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 3501 S Harbor Blvd Ste 140-b, Santa Ana, CA 92704 | 2018-04-17 |
| 1952811978 | Rising Roads Recovery Services for Women, LLC | Substance Abuse Rehabilitation Facility | 2750 S Harbor Blvd Ste G, Santa Ana, CA 92704 | 2017-10-04 |
| 1427577907 | Advance Oc Surgical Inc. | Clinic/Center | 3500 S. Bristol St., Suite 200, Santa Ana, CA 92704 | 2017-09-15 |
| Find all providers in zip 92704 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649171 | Parra Phuong | Dentist | 2006 Trask Ave, Santa Ana, CA 92706-1355 | 2020-08-13 |
| 1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
| 1588283337 | Practice of Shahgaldian Dental Inc. | Dentist | 407 E 1st St Ste 2a, Santa Ana, CA 92701-5340 | 2020-04-13 |
| 1215577697 | Martha Hilda Torres Benitez | Dentist | 2723 N Bristol St Ste D7, Santa Ana, CA 92706-1419 | 2020-01-13 |
| 1659914398 | Western Dental Services, Inc. | Dentist | 1575 N. Grand Ave, Santa Ana, CA 92705-8511 | 2019-10-25 |
| 1013417443 | M.g. Farzin, D.d.s., Inc. | Dentist | 2010 East First Street, Suite 230, Santa Ana, CA 92705 | 2018-02-12 |
| 1912420340 | Moulik D.d.s. Inc | Dentist | 2112 N Main St Ste 100, Santa Ana, CA 92706-2738 | 2017-07-18 |
| 1235678103 | Roya Pouryavari,dmd,inc. | Dentist | 809 S Main St Ste C, Santa Ana, CA 92701-5719 | 2017-02-13 |
| 1437600020 | Assistance League of Santa Ana | Dentist | 1028 W 2nd St, Santa Ana, CA 92703-3929 | 2016-10-18 |
| 1437605698 | Hiroko Grace Murotani | Dentist | 3620 S Bristol St Ste 209, Santa Ana, CA 92704-7315 | 2016-08-28 |
| Find all providers in SANTA ANA | ||||
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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.