DR. TOBIAS KONRAD BOEHM (NPI# 1235469529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235469529 |
| Entity Type | Individual |
| Full Name | DR. TOBIAS KONRAD BOEHM |
| Credential | D.D.S, PH.D. |
| Practice Address |
795 E Second Street Suite 8 Pomona CA 91766-2007 |
| Mailing Address |
309 E Second St College of Dental Medicine / Western University Pomona CA 91766-1854 |
| Practice Telephone | 9097063910 |
| Practice Fax Number | 9094698650 |
| Mailing Telephone | 9097063831 |
| Mailing Fax Number | 9097063800 |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2018-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
59807 | CA | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
053283-1 | NY | Dental Providers |
| Street Address |
795 E SECOND STREET SUITE 8 |
| City | POMONA |
| State | CA |
| Zip Code | 91766-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326031477 | Robin J Drescher | Optometrist | 795 E Second Street, Suite 2, Pomona, CA 91766-2007 | 2005-08-24 |
| 1073946356 | Munish Sharma | Optometrist | 795 E Second Street, Suite 2, Pomona, CA 91766-2007 | 2013-08-09 |
| 1083909600 | Steven Lam | Family Medicine | 795 E Second Street, Suite 5, Pomona, CA 91776-2007 | 2011-06-10 |
| 1104156629 | Nataly M Fahim | Optometrist | 795 E Second Street, Suite 2, Pomona, CA 91766-2007 | 2010-01-05 |
| 1346478591 | Linda Luong Bellomy | Optometrist | 795 E Second Street, Suite 2, Pomona, CA 91766-2007 | 2009-06-26 |
| 1932351657 | Stephanie Lynn White | Family Medicine | 795 E Second Street, Suite 5, Pomona, CA 91766-2007 | 2008-10-13 |
| 1811154727 | Dorcas Tsang | Optometrist | 795 E Second Street, Suite 2, Pomona, CA 91766-2007 | 2008-05-19 |
| 1992974240 | Steven William Friedrichsen | Dentist | 795 E Second Street, Suite 8, Pomona, CA 91766-2020 | 2008-02-20 |
| 1215050299 | David Leroy Redding | Neuromusculoskeletal Medicine, Sports Medicine | 795 E Second Street, Suite 5, Pomona, CA 91766-2007 | 2007-04-06 |
| 1891883880 | Jeffrey Allan Elo | Dentist | 795 E Second Street, Suite 8, Pomona, CA 91766 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999494 | Justine Arce | Massage Therapist | 2063 Rancho Valley Drive Suite 320 #208, Pomona, CA 91766 | 2020-10-15 |
| 1699287938 | Monika Stephanie Wan | Pharmacist | 710 Rio Rancho Road, Pomona, CA 91766 | 2017-10-26 |
| 1306386966 | Teresa Le | Dentist | 1898 Wright St, Pomona, CA 91766 | 2017-03-02 |
| 1770971715 | Hanzel Mendez | Physical Therapist | 1080 Verbena Court, Pomona, CA 91766 | 2014-12-29 |
| 1902223589 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3 Cottontail Dr, Pomona, CA 91766 | 2014-03-21 |
| 1487075578 | Fenix Health Medical Group, Inc. | Family Medicine | 716 East Mission Blvd., Pomona, CA 91766 | 2013-12-17 |
| 1134556012 | Imperial Hospice, Inc. | Hospice Care, Community Based | 363 S Park Ave Ste 105, Pomona, CA 91766 | 2013-10-08 |
| 1497196349 | Cohen Sedgh, Manavi & Pakravan Dental Corporation | Dentist | 763 Rio Rancho Road Suite120, Pomona, CA 91766 | 2013-07-08 |
| 1245573567 | Terry Chang | Acupuncturist | 3060 W. Temple Ave., Pomona, CA 91766 | 2013-04-04 |
| 1215271085 | Emmanuel Castro | Counselor | 4 Village Loop, Phillips Ranch, CA 91766 | 2012-11-19 |
| Find all providers in zip 91766 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700105681 | Clara Kim | Dentist | 795 E. Second St., Suite 8, Pomona, CA 91766 | 2010-05-18 |
| 1780816330 | Bruce Sheldon Weiss | Dentist | 971 Route 45, Suite 208, Pomona, NY 10970-3500 | 2009-08-17 |
| 1689854903 | Faranak Vossughi | Dentist | 18 Thiells Mount Ivy Rd, Pomona, NY 10970-3020 | 2007-11-05 |
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| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
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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.