ABBASSI JOHNSON PROFESSIONAL CORPORATION (NPI# 1255615522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255615522 |
| Entity Type | Organization |
| Organization Name | ABBASSI JOHNSON PROFESSIONAL CORPORATION |
| Other Organization Name | N/A |
| Practice Address |
558 W Badillo St Covina CA 91722 |
| Mailing Address |
558 W Badillo St Covina CA 91722-3762 |
| Practice Telephone | 6263310506 |
| Practice Fax Number | 6268581788 |
| Mailing Telephone | 6263310506 |
| Mailing Fax Number | 6268581788 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |
| Authorized Official Name | ARTHUR JOHNSON III (OWNER) |
| Authorized Official Telephone | 6263310506 |
| Authorized Official Credential | MD, DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
54047 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
55948 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
54322 | CA | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
47476 | CA | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
24358 | CA | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
OMS36 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| N/A | Doing Business As Name - Organization |
| Street Address |
558 W BADILLO ST |
| City | COVINA |
| State | CA |
| Zip Code | 91722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083072607 | Lauren Rae Ramos | Dental Assistant | 1406 N Azuza Ave, Sute C, Covina, CA 91722 | 2016-02-10 |
| 1841674983 | John Catania | Case Manager/Care Coordinator | 4670 North Hollenbeck Ave, Covina, CA 91722 | 2015-07-18 |
| 1528207982 | Adriana Luna | Dental Assistant | 1406 N. Azusa Ave., Suite C, Covina, CA 91722 | 2009-02-09 |
| 1295984805 | Sima Khavaran | Dentist | 546 W. Badillo St., Suite C, Covina, CA 91722 | 2008-09-18 |
| 1538361753 | Adriana Inez Camargo-fernandez | Psychologist | 599 S. Baranca, Suitel104, Covina, CA 91722 | 2007-06-01 |
| 1740498591 | Yolanda Bulaon Dycoco-esguerra | Dentist | 546 West Badillo Street, Suite E, Covina, CA 91722 | 2007-05-17 |
| 1225150543 | Michael C Huang | Dentist | 520 West Badillo Street, Covina, CA 91722 | 2007-04-06 |
| 1801914874 | Harry Humphreys Dds Inc | Dentist | 558 West Badillo, Covina, CA 91722 | 2007-03-27 |
| 1881755411 | Helen Louise Taylor | Physician Assistant | 1433 N. Hollenbeck Avenue, Suite 200, Covina, CA 91722 | 2006-12-13 |
| 1932146370 | Mayflower Medical Group, Inc. | Family Medicine | 1433 N. Hollenbeck Ave., Suite 200, Covina, CA 91722 | 2006-06-02 |
| Find all providers in zip 91722 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407309602 | Echarte-rodriguez Dental Corporation | Dentist | 546 W Badillo St Ste E, Covina, CA 91722-3786 | 2016-07-25 |
| 1023321668 | Veronica Gonzalez | Dentist | 560 W Badillo St, Covina, CA 91722-3762 | 2010-07-26 |
| 1437179264 | Peter S Lam | Dentist | 518 W Badillo St, Covina, CA 91722-3762 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1609493170 | Amir Haghshenas Dds | Dentist | 3880 S Bascom Ave Ste 213, San Jose, CA 95124-2675 | 2020-07-01 |
| 1316568900 | Beech & Reid Dental Partnership | Dentist | 464 E Calaveras Blvd Ste B3, Milpitas, CA 95035-5412 | 2020-05-05 |
| 1518506773 | Francisco Suarez, Dds Inc. | Dentist | 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 | 2020-01-04 |
| 1831748839 | Slate Dental Corporation | Dentist | 6512 Lonetree Blvd Ste 100, Rocklin, CA 95765-5883 | 2019-09-11 |
| 1255980140 | Dr Maloux Macasaet Saguin Dental Corporation | Dentist | 9800 Topanga Canyon Blvd Ste J, Chatsworth, CA 91311-4075 | 2019-09-04 |
| 1891342267 | Amrollahie and Riman Dental Partnership | Dentist | 1442 Irvine Blvd Ste 225, Tustin, CA 92780-3846 | 2019-08-21 |
| 1548821572 | Hoang Dental Corporation | Dentist | 1356 W Valley Pkwy Ste J, Escondido, CA 92029-2138 | 2019-06-20 |
| 1073173860 | Omfs Care Center Partners | Dentist | 215 N Fresno St Ste 490, Fresno, CA 93701-0000 | 2019-06-14 |
| Find all providers with the same taxonomy | ||||
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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.