DR. SHIVALI GOHEL GARG (NPI# 1518396621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518396621 |
| Entity Type | Individual |
| Full Name | DR. SHIVALI GOHEL GARG |
| Other Name | DR. SHIVALI GOHEL |
| Credential | DMD, MSD |
| Practice Address |
4320 Genesee Ave Ste 203 San Diego CA 92117 |
| Mailing Address |
4320 Genesee Ave Ste 203 San Diego CA 92117-4900 |
| Practice Telephone | 8585417676 |
| Mailing Telephone | 8585417676 |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2018-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
62958 | CA | Dental Providers |
| Street Address |
4320 GENESEE AVE STE 203 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1568956050 | Lourdes C Villagran | Case Manager/Care Coordinator | 4474 Charger Blvd, San Diego, CA 92117 | 2018-06-18 |
| 1750893509 | Dzendzel Family Chiropractic | Chiropractor | 3650 Clairemont Drive, Ste 2, San Diego, CA 92117 | 2017-11-02 |
| 1205355401 | Alan Ford | Counselor | 4150 Ute Dr., San Diego, CA 92117 | 2017-09-19 |
| 1780101238 | Allison Dawn Heeney | Occupational Therapist | 3386 Hopi Place, San Diego, CA 92117 | 2017-08-25 |
| 1275074379 | Rachel Gabrielle Packer | Counselor | 5252 Balboa Ave Ste 801, San Diego, CA 92117 | 2017-03-09 |
| 1316482995 | Lisa Graff-marsh, Inc. | Social Worker | 4985 Park Rim Dr., San Diego, CA 92117 | 2017-01-05 |
| 1417408949 | Markos and Markos 1 Inc | Private Vehicle | 4495 Clairemont Mesa Blvd, San Diego, CA 92117 | 2016-10-19 |
| 1801341813 | Huynh and Habashi Dental Corporation | Dentist | 2995 Clairemont Dr, Suite A, San Diego, CA 92117 | 2016-08-19 |
| 1184076077 | Tammy Monck | Optometrist | 3952 Clairemont Mesa Blvd Ste I, San Diego, CA 92117 | 2016-07-05 |
| Find all providers in zip 92117 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073966057 | Kennie Kwok Dmd, Inc | Dentist | 4060 4th Ave Ste 303, San Diego, CA 92103-2120 | 2016-07-14 |
| 1457749723 | Nguyen and Yang Dental Partnership | Dentist | 9855 Erma Rd Ste 110, San Diego, CA 92131-1007 | 2015-01-08 |
| 1447653746 | Mac, Maksim and Yang Dental Partnership A General Partnership | Dentist | 9912 Carmel Mountain Rd, San Diego, CA 92129-2808 | 2014-09-30 |
| 1013215987 | David Chun-te Yu | Dentist | 3141 Trinity Bay Pl, San Diego, CA 92110-5343 | 2011-03-02 |
| 1619295201 | Khanh V. Nguyen, Dds, Inc. | Dentist | 3570 4th Ave, San Diego, CA 92103-4940 | 2010-05-07 |
| 1720302375 | Evelyn Tarcila Huaman | Dentist | 9040 Friars Road Suite #535, San Diego, CA 92108 | 2010-03-24 |
| 1225200371 | Genevieve Abi-nahed | Dentist | 5210 Balboa Ave Ste A2, San Diego, CA 92117 | 2008-03-28 |
| 1396927299 | Khanh Vu Thuy Nguyen | Dentist | 3737 Moraga Ave Ste A104, San Diego, CA 92117 | 2007-12-03 |
| 1740481456 | George Crow | Dentist | 16253 Pinto Ridge Dr, San Diego, CA 92127-3425 | 2007-05-30 |
| 1134345507 | Roya Niakian A Professional Corporation | Dentist | 1111 6th Avenue Ste 102, San Diego, CA 92101 | 2007-04-17 |
| Find all providers in SAN DIEGO | ||||
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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.