REGENTS OF UNIV. OF CALIFORNIA DENTAL ANESTHESIA SERVICE (NPI# 1346303195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346303195 |
| Entity Type | Organization |
| Organization Name | REGENTS OF UNIV. OF CALIFORNIA DENTAL ANESTHESIA SERVICE |
| Practice Address |
10833 Leconte Ave 53-039 Chs Los Angeles CA 90095-1668 |
| Practice Telephone | 3108259300 |
| Practice Fax Number | 8773520109 |
| Mailing Telephone | 3108259300 |
| Mailing Fax Number | 3103520109 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2013-05-17 |
| Authorized Official Name | DR. STEVEN ISAAC GANZBERG (PROFESSOR AND CHAIR) |
| Authorized Official Telephone | 3108259300 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
60746 | CA | Dental Providers |
| Street Address |
10833 LECONTE AVE 53-039 CHS |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-1668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134199946 | Derek Alan Wong | Medical Genetics | 10833 Leconte Ave, Mdcc 12-334, Los Angeles, CA 90095-1732 | 2006-01-24 |
| 1548664089 | Susana Pak Chae | Nurse Anesthetist, Certified Registered | 10833 Leconte Ave, Room 56-142 Chs, Los Angeles, CA 90095-0001 | 2014-10-13 |
| 1871929570 | Suzanne Hollander | Dietitian, Registered | 10833 Leconte Ave, Mdcc 12-334, Los Angeles, CA 90095-0001 | 2013-09-25 |
| 1952604613 | Elise Marie Martin | Internal Medicine | 10833 Leconte Ave, 37-121 Chs, Los Angeles, CA 90095-0001 | 2010-12-17 |
| 1407162381 | Gil B Ivry | Dentist | 10833 Leconte Ave, A0-156 Chs, Los Angeles, CA 90095-0001 | 2010-08-30 |
| 1922323856 | Grace Deukmedjian | Pediatrics | 10833 Leconte Ave, Suite 265, Los Angeles, CA 90095-0001 | 2010-04-04 |
| 1376784678 | Negar Khanlou | Pathology | 10833 Leconte Ave, Box 951732, A7-149 Chs Box 116, Los Angeles, CA 90095-0001 | 2009-03-16 |
| 1235397902 | Neil A Martin, Md, Inc | Neurological Surgery | 10833 Leconte Ave, Los Angeles, CA 90095-0001 | 2008-05-29 |
| 1942468624 | John G Frazee Md A Professional Corporation | Neurological Surgery | 10833 Leconte Ave, Los Angeles, CA 90095-0001 | 2008-05-29 |
| 1508031881 | Stacie Lynn Schurman | Advanced Practice Midwife | 10833 Leconte Ave, Los Angeles, CA 90095-0001 | 2008-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659600682 | Sue Jean Park | Dentist | 11693 San Vicente Blvd # 207, Los Angeles, CA 90049-5105 | 2009-12-22 |
| 1861638132 | Richard F Stafford Dds Inc | Dentist | 321 N Larchmont Blvd Ste 721, Los Angeles, CA 90004-6407 | 2008-12-17 |
| 1063613875 | Andreia Minasian Silvera | Dentist | 2080 Century Park E Ste 1003, Los Angeles, CA 90067-2013 | 2007-05-30 |
| 1861612020 | Leonard Wayne Naftalin | Dentist | 9911 W Pico Blvd Ste 1450, Los Angeles, CA 90035-2713 | 2007-04-27 |
| 1952451106 | Mary Perez Satuito | Dentist | 4226 S Figueroa St, #206, Los Angeles, CA 90037-2658 | 2007-01-11 |
| 1740715051 | Richard Stafford | Dentist | 321 N Larchmont Blvd, Suite 721, Los Angeles, CA 90004-3025 | 2017-04-24 |
| 1942568928 | Yuen Ryan Wu | Dentist | 925 W 34th St, Los Angeles, CA 90089-2804 | 2012-04-27 |
| 1144430158 | Christine L. Quinn | Dentist | Ucla School of Dentistry, Box 951668, Los Angeles, CA 90095-1668 | 2007-05-22 |
| 1629287131 | James William Tom | Dentist | 925 W 34th St, Den 4302, Los Angeles, CA 90089-0058 | 2007-05-21 |
| 1265509921 | Steven Isaac Ganzberg | Dentist | 10833 Leconte Ave, 53-039 Chs, Los Angeles, CA 90095-1668 | 2006-11-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
Please comment or provide details below to improve the information on REGENTS OF UNIV. OF CALIFORNIA DENTAL ANESTHESIA SERVICE.
| 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.