DR. SHAGRAMANOVA DENTAL GROUP, INC (NPI# 1265905434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265905434 |
| Entity Type | Organization |
| Organization Name | DR. SHAGRAMANOVA DENTAL GROUP, INC |
| Practice Address |
3175 Firestone Blvd South Gate CA 90280-2951 |
| Practice Telephone | 3234841020 |
| Mailing Telephone | 3234841020 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |
| Authorized Official Name | NATALYA SHAGRAMANOVA (CEO/DENTIST) |
| Authorized Official Telephone | 8186537778 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RENDERING PROVIDER NUMBER | 1023051646 | 01 |
| Street Address |
3175 FIRESTONE BLVD |
| City | SOUTH GATE |
| State | CA |
| Zip Code | 90280-2951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497788020 | Alfonso Tucay | Physical Medicine & Rehabilitation | 3175 Firestone Blvd, South Gate, CA 90280-2951 | 2006-07-08 |
| 1851835045 | Lori Jo Gresowski | Clinical Nurse Specialist | 3175 Firestone Blvd, South Gate, CA 90280-2951 | 2016-12-07 |
| 1831383140 | Larissa Gushansky Dds, Inc. | Dentist | 3175 Firestone Blvd, Suite200, South Gate, CA 90280-2951 | 2007-08-29 |
| 1437363462 | Maria Esther Fernandez | Physician Assistant | 3175 Firestone Blvd, South Gate, CA 90280-2951 | 2007-05-09 |
| 1861418576 | Multi Health Care Medical Group Inc. | Physical Medicine & Rehabilitation | 3175 Firestone Blvd, South Gate, CA 90280-2951 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861989758 | Downey Family Cosmetic Dentistry | Clinic/Center | 9212 Lakewood Blvd, Downey, CA 90280 | 2018-04-17 |
| 1720529936 | Carewest Non-emergency Services, LLC | Non-emergency Medical Transport (VAN) | 10423 Atlantic Ave, South Gate, CA 90280 | 2017-03-20 |
| 1669844593 | Consumerhealth, Inc. | Dentist | 9918 Atlantic Aveneue, South Gate, CA 90280 | 2015-10-30 |
| 1366810988 | T & T Care Inc | Pharmacy | 8330 Long Beach Blvd Ste 112, South Gate, CA 90280 | 2015-09-14 |
| 1831579234 | Mariana Silva | Licensed Psychiatric Technician | 8160 Victoria Ave. Apt. A, South Gate, CA 90280 | 2015-06-02 |
| 1417396060 | Compatior, Inc. | Community/Behavioral Health | 4363 Tweedy Blvd, South Gate, CA 90280 | 2013-06-17 |
| 1508158197 | Eddy Ang | Family Medicine | 8627 Atlantic Ave, South Gate, CA 90280 | 2011-05-13 |
| 1750528691 | Herbert Perez | Dental Assistant | 4149 Tweey Blvd #j, South Gate, CA 90280 | 2009-01-14 |
| 1962615773 | Harold Edward Potts | Chiropractor | 10010 California Ave., South Gate, CA 90280 | 2007-05-08 |
| 1821113507 | Magdy F Tadros | Dentist | 3173 Tweedy Blvd, South Gate, CA 90280 | 2007-03-20 |
| Find all providers in zip 90280 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841339256 | Naziri Dental Corp | Clinic/Center | 4186 Tweedy Blvd, South Gate, CA 90280 | 2007-02-05 |
| 1821585803 | Behnoud Reyhani Dental Corp | Clinic/Center | 2639 Santa Ana St, South Gate, CA 90280-2025 | 2018-04-16 |
| 1487151379 | Christina Myung Dds, Inc. | Clinic/Center | 12009 Garfield Ave, South Gate, CA 90280-7822 | 2018-04-09 |
| 1568964856 | Ardy Hakhamian, D.d.s. Inc. | Clinic/Center | 10530 Atlantic Ave, South Gate, CA 90280-7024 | 2018-03-02 |
| 1306398680 | Mia Larissa Ancheta A Dental Corporation | Clinic/Center | 8720 Garfield Ave Ste 104, South Gate, CA 90280-3720 | 2016-11-02 |
| 1336538875 | Pooja Aswani Dds,inc. | Clinic/Center | 8426 California Ave, South Gate, CA 90280-2414 | 2015-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH GATE |
| Zip Code | 90280 |
Please comment or provide details below to improve the information on DR. SHAGRAMANOVA DENTAL GROUP, INC.
| 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.