DR. YENI SUTANTO (NPI# 1508876277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508876277 |
| Entity Type | Individual |
| Full Name | DR. YENI SUTANTO |
| Credential | D.D.S |
| Practice Address |
6931 Van Nuys Blvd Suite, #100 Van Nuys CA 91405-3937 |
| Practice Telephone | 8189888080 |
| Practice Fax Number | 8189888168 |
| Mailing Telephone | 8189888080 |
| Mailing Fax Number | 8189888168 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
39212 | CA | Dental Providers |
| Street Address |
6931 VAN NUYS BLVD SUITE, #100 |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91405-3937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548690951 | Jaid Gorban | Physiological Laboratory | 6931 Van Nuys Blvd, Suite 317, Van Nuys, CA 91405-3937 | 2013-11-21 |
| 1376977140 | Sam Memar Zia | Marriage & Family Therapist | 6931 Van Nuys Blvd, #102, Van Nuys, CA 91405-3937 | 2013-08-28 |
| 1720345770 | Virginia Conesa | Marriage & Family Therapist | 6931 Van Nuys Blvd, Suite 102, Van Nuys, CA 91405-3937 | 2012-04-16 |
| 1093080921 | Gl Hospice Care, Incorporation | Hospice Care, Community Based | 6931 Van Nuys Blvd, #323, Van Nuys, CA 91405-3937 | 2012-03-10 |
| 1497031793 | Jessica Ponce | Social Worker | 6931 Van Nuys Blvd, 102, Van Nuys, CA 91405 | 2011-10-31 |
| 1164668562 | Sadaf Askarinam | Rehabilitation Practitioner | 6931 Van Nuys Blvd, Van Nuys, CA 91405-3937 | 2009-01-06 |
| 1538316740 | Rouhangiz Mahmoudi | Rehabilitation Practitioner | 6931 Van Nuys Blvd, 2nd Floor, Van Nuys, CA 91405-3937 | 2008-08-19 |
| 1831345479 | Jae Yeop An | Marriage & Family Therapist | 6931 Van Nuys Blvd, Van Nuys, CA 91405-3937 | 2008-08-14 |
| 1053598706 | Caren Caty | Psychologist | 6931 Van Nuys Blvd, Suite 102, Van Nuys, CA 91405 | 2008-01-24 |
| 1487830725 | San Fernando Valley Community Mental Health Center | Community/Behavioral Health | 6931 Van Nuys Blvd, Van Nuys, CA 91405-3937 | 2008-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
| 1205452174 | Graeme Matthewson | Student in an Organized Health Care Education/Training Program | 6815 Noble Avenue, Van Nuys, CA 91405 | 2020-06-17 |
| 1023671179 | Cory Andrew Kwong | Student in an Organized Health Care Education/Training Program | C/o Lauren Daoust - Southern California Orthopedic Inst, 6815 Noble Avenue, Van Nuys, CA 91405 | 2019-04-15 |
| 1871052878 | Eric Nunez | Behavior Technician | 7226 Sepulveda Boulevard, Van Nuys, CA 91405 | 2019-03-19 |
| 1487113437 | Cindy Antillon | Behavior Technician | 7226 Sepulveda Blvd. Van Nuys, Ca 91405, Van Nuys, CA 91405 | 2019-03-19 |
| 1326507690 | Jordan Elliot Brooks | Behavior Technician | 7226 Sepulveda Blvd., Van Nuys, CA 91405 | 2019-03-17 |
| 1689132110 | Bright Star Home Health Care, Inc. | Home Health | 7141 Wooley Ave, Van Nuys, CA 91405 | 2019-03-04 |
| 1336650498 | Avanti Transportation Services, LLC | Private Vehicle | 7020 Lennox Ave #7, Van Nuys, CA 91405 | 2017-10-17 |
| 1801312434 | Marissa Topete | Rehabilitation Counselor | 14624 Sherman Way, Suite 404, Van Nuys, CA 91405 | 2017-08-15 |
| 1750802468 | Selin Ani Zarmanoglu | Marriage & Family Therapist | 14600 Sherman Way #100d, Van Nuys, CA 91405 | 2017-07-03 |
| Find all providers in zip 91405 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215543327 | Anahita Behshadpour Dental Corporation | Dentist | 14435 Hamlin St Ste 205, Van Nuys, CA 91401-6205 | 2020-09-23 |
| 1205259769 | Albertina Silva Dds, Inc | Dentist | 14649 Victory Blvd Ste 24, Van Nuys, CA 91411-4101 | 2014-02-03 |
| 1548551492 | Matthew Alan Caligiuri | Dentist | 14432 Gilmore St, Suite B, Van Nuys, CA 91401-1429 | 2011-04-27 |
| 1740426162 | Bayramyan Dds Dental Corp. | Dentist | 14422 Victory Blvd, Van Nuys, CA 91401-1480 | 2009-01-07 |
| 1659526242 | Nissan Rafael Sharaf | Dentist | 15114 Sherman Way Apt 210, Van Nuys, CA 91405-2089 | 2008-11-24 |
| 1003061193 | R. Bruce Kautz | Dentist | 5816 Van Nuys Blvd, Van Nuys, CA 91401-4218 | 2008-11-18 |
| 1265696173 | Jonathan L Maddatu Dds Inc | Dentist | 6736 N. Sepulveda Blvd, Van Nuys, CA 91411-3306 | 2008-07-10 |
| 1184801789 | Dr. Jeannie Ann Molato D.m.d. | Dentist | 7133 Sepulveda Blvd., Van Nuys, CA 91405 | 2008-01-25 |
| 1215117304 | Elizabeth May Estrada | Dentist | 16935 Vanowen St Ste A, Van Nuys, CA 91406-4565 | 2007-11-06 |
| 1689869448 | Mihai Nicolae | Dentist | 7335 Van Nuys Blvd Ste 104, Van Nuys, CA 91405-1951 | 2007-09-13 |
| Find all providers in VAN NUYS | ||||
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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.