COSTA MESA CORP. (NPI# 1508015603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508015603 |
| Entity Type | Organization |
| Organization Name | COSTA MESA CORP. |
| Other Organization Name | SOCAL SMILES DENTISTRY |
| Practice Address |
230 E 17th St Suite 208 Costa Mesa CA 92627-3824 |
| Practice Telephone | 9496450045 |
| Practice Fax Number | 9496450055 |
| Mailing Telephone | 9496450045 |
| Mailing Fax Number | 9496450055 |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |
| Authorized Official Name | DR. RINESH GANATRA (OWNER) |
| Authorized Official Telephone | 9497660006 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5007 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| SoCal Smiles Dentistry | Doing Business As Name - Organization |
| Street Address |
230 E 17TH ST SUITE 208 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-3824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336110683 | Claudio M Carvalho | Physical Medicine & Rehabilitation | 230 E 17th St, Suite 202, Costa Mesa, CA 92627-3824 | 2006-01-26 |
| 1477085793 | Desanto Clinics | Internal Medicine | 230 E 17th St, Suite 200, Costa Mesa, CA 92627-3824 | 2017-03-28 |
| 1629527767 | Angela Eunkyung Kim | Dentist | 230 E 17th St, 208, Costa Mesa, CA 92627-3824 | 2016-09-30 |
| 1750781381 | Suk Woo | Dentist | 230 E 17th St, Ste. 208, Costa Mesa, CA 92627-3824 | 2014-09-02 |
| 1871900399 | Mohammad Fardghassemi | Hearing Instrument Specialist | 230 E 17th St, Suite 170, Costa Mesa, CA 92627-3824 | 2014-07-16 |
| 1326464850 | Farand Kusnadi | Chiropractor | 230 E 17th St, Suite 202, Costa Mesa, CA 92627-3824 | 2014-03-07 |
| 1508167115 | Claudio M. Carvalho, Do, A Prof Medical Corp | Non-Pharmacy Dispensing Site | 230 E 17th St, Suite 202, Costa Mesa, CA 92627-3824 | 2010-11-12 |
| 1497984876 | Jessica Amling | Physical Therapist | 230 E 17th St, Suite 201, Costa Mesa, CA 92627-3824 | 2009-07-07 |
| 1851545537 | Chonway Daly Tram | Dentist | 230 E 17th St, Suite 208, Costa Mesa, CA 92627-3824 | 2008-11-08 |
| 1376712273 | Claudio M. Carvalho, D.o, A Professional Medical Corporation | Physical Medicine & Rehabilitation | 230 E 17th St, Suite 202, Costa Mesa, CA 92627-3824 | 2008-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790273829 | Clint Walker Dental Corporation | Dentist | 270 E 17th St Ste 15, Costa Mesa, CA 92627-3845 | 2018-04-24 |
| 1003298894 | Michael Ayzin Dds Dental Corp | Dentist | 1202 Bristol St Ste 120, Costa Mesa, CA 92626-8606 | 2015-06-29 |
| 1194103671 | Mina Girgis | Dentist | 488 E 17th St Ste A101, Costa Mesa, CA 92627-3277 | 2015-05-15 |
| 1063819928 | William Pomeroy | Dentist | 181 E 18th St Ste D, Costa Mesa, CA 92627-3069 | 2014-11-20 |
| 1336544048 | Tiffany Thuy Trinh Vo | Dentist | 3030 Harbor Blvd Ste G1, Costa Mesa, CA 92626-2562 | 2014-10-24 |
| 1629408489 | Lance Hamilton | Dentist | 234 E 17th St Ste 107, Costa Mesa, CA 92627-3854 | 2013-11-14 |
| 1578818134 | Derek Havas | Dentist | 3400 Ave of The Arts, E408, Costa Mesa, CA 92626-1927 | 2012-07-19 |
| 1760783369 | Lance Alder | Dentist | 2653 Orange Ave Apt F, Costa Mesa, CA 92627-4674 | 2010-11-12 |
| 1942536628 | Alvaro Adrian Aguirre | Dentist | 1170 Baker St, Suite #e, Costa Mesa, CA 92626-4100 | 2009-10-30 |
| 1962644229 | Richard Yale Boerner | Dentist | 270 Bristol St Ste 106, Costa Mesa, CA 92626-5936 | 2009-04-01 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
Please comment or provide details below to improve the information on COSTA MESA CORP..
| 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.