DR. CHETAN KUMAR MEHTA (NPI# 1487683702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487683702 |
| Entity Type | Individual |
| Full Name | DR. CHETAN KUMAR MEHTA |
| Credential | D.M.D., M.S.D. |
| Practice Address |
13372 Newport Ave Suite C Tustin CA 92780-3426 |
| Mailing Address |
5 Villager Irvine CA 92602-2459 |
| Practice Telephone | 7148381238 |
| Practice Fax Number | 7148389586 |
| Mailing Telephone | 7143891919 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D49597 | CA | Dental Providers |
| Street Address |
13372 NEWPORT AVE SUITE C |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386682177 | Sangeeta Hitesh Patel | Pediatrics | 13372 Newport Ave, Suite B, Tustin, CA 92780-3426 | 2006-06-03 |
| 1972959898 | Docs For(4) Kids Medical Office | Pediatrics | 13372 Newport Ave, Suite B, Tustin, CA 92780-3426 | 2016-05-10 |
| 1629448188 | Faye Hazrati | Clinic/Center | 13372 Newport Ave, Ste F, Tustin, CA 92780-3426 | 2015-09-28 |
| 1750404851 | James John Zahrowski | Dentist | 13372 Newport Ave, Suite E, Tustin, CA 92780-3426 | 2007-04-06 |
| 1639222383 | Milos M. Boskovic | Dentist | 13372 Newport Ave, Suite G, Tustin, CA 92780-3426 | 2007-01-18 |
| 1598818254 | Ivanka Srbinovska | Dentist | 13372 Newport Ave, Suite G, Tustin, CA 92780-3426 | 2007-01-18 |
| 1184776148 | Boskovic & Srbinovska Dds Inc | Dentist | 13372 Newport Ave, Suite G, Tustin, CA 92780-3426 | 2007-01-18 |
| 1245383900 | Boskovic Srbinovska Dds Inc. | Dentist | 13372 Newport Ave, Suite G, Tustin, CA 92780-3426 | 2007-01-18 |
| 1356366108 | Steven J. Altman | Podiatrist | 13372 Newport Ave, Suite I, Tustin, CA 92780-3426 | 2006-07-13 |
| 1770523979 | Thomas V Deguzman, Pt, A Professional Corp | Clinic/Center | 13372 Newport Ave, Suite I, Tustin, CA 92780-3426 | 2006-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972154417 | Farshad Seyedein Dds Inc | Dentist | 13420 Newport Ave Ste H, Tustin, CA 92780-3745 | 2019-09-26 |
| 1649695537 | Rodney Ida | Dentist | 17542 Irvine Blvd, Suite # A, Tustin, CA 92780-3155 | 2014-02-28 |
| 1376772426 | Duhli Craig Chen | Dentist | 12791 Newport Ave, 102, Tustin, CA 92780-2751 | 2009-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578655 | Pinole Endodontics | Dentist | 2150 Appian Way Ste 207, Pinole, CA 94564-2520 | 2020-11-05 |
| 1518566702 | Sp Endodontics Partnershiop | Dentist | 1300 W Lodi Ave Ste N, Lodi, CA 95242-3038 | 2020-10-20 |
| 1215535661 | Ascella Justine Ronson | Dentist | 35395 Linda Rosea Rd, Temecula, CA 92592-9532 | 2020-10-16 |
| 1457964215 | Lars Bjorn Jonsson, D.d.s., M.s., Inc. | Dentist | 25261 Paseo De Valencia Ste 3, Laguna Hills, CA 92637-4966 | 2020-08-31 |
| 1952929333 | Noureldin Shoreibah Dds Inc | Dentist | 7677 Center Ave Ste 210, Huntington Beach, CA 92647-9103 | 2020-07-11 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1568091833 | M. Potti Dds Msd Inc | Dentist | 6400 Village Pkwy Ste 100, Dublin, CA 94568-3007 | 2020-04-07 |
| 1194356840 | Liang Dental Group Inc | Dentist | 5562 Philadelphia St Ste 211, Chino, CA 91710-2499 | 2020-01-31 |
| 1699313015 | Paul Erben Dmd Msd PC | Dentist | 937 E Main St Ste 204, Santa Maria, CA 93454-5309 | 2019-12-16 |
| 1396382495 | Narbeh Bandary Dental Corp | Dentist | 4910 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1718 | 2019-12-08 |
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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.