WEST COAST DENTAL (NPI# 1538638796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538638796 |
| Entity Type | Organization |
| Organization Name | WEST COAST DENTAL |
| Practice Address |
12730 Hawthorne Blvd Ste D Hawthorne CA 90250-3919 |
| Mailing Address |
4415 Arlington Ave Los Angeles CA 90043-1407 |
| Practice Telephone | 3102200914 |
| Mailing Telephone | 3234827408 |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |
| Authorized Official Name | BHAVIK N BHAKTA (DENTAL HYGIENIST) |
| Authorized Official Telephone | 3234827408 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 32431 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730578063 | West Coast Dental | Dental Assistant | 3571 N 1st St Ste 203, San Jose, CA 95134-1803 | 2015-01-09 |
| 1043434988 | West Coast Dental | Dentist | 595 W 8th Ave, Eugene, OR 97401-2806 | 2007-04-12 |
| 1932323607 | West Coast Dental | Dentist | 1050 W Elm Ave Ste 230, Hermiston, OR 97838-2714 | 2007-04-12 |
| 1801186556 | West Coast Dental | Dental Assistant | 1330 Shaw Ave Ste 103, Clovis, CA 93612-3985 | 2011-04-14 |
| 1699936575 | West Coast Dental | Dentist | 732 Sw 3rd Ave, Suite 202, Portland, OR 97204-2416 | 2008-06-23 |
| 1073717781 | West Coast Dental | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2007-06-14 |
| 1285858027 | West Coast Dental | Dentist | 1880 Lancaster Dr Ne Ste 121, Salem, OR 97305-1069 | 2007-04-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WEST COAST DENTAL ARTS | 159 Medford Ave, Hayward, CA 94541-1748 |
| Washington State Corporations | WEST COAST DENTAL GROUP LIMITED LIABILITY COMPANY | 1002 Harvey Rd, Auburn, WA 98002 |
| Oregon Corporations, Companies and Business Names | WEST COAST DENTAL LAB | 5935 Darcy St Se, Salem, OR 97306 |
| Oregon Corporations, Companies and Business Names | WEST COAST DENTAL REPAIR AND SALES. | 1698 Carton Way, Grants Pass, OR 97526 |
| Street Address |
12730 HAWTHORNE BLVD STE D |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386868503 | Susan Manavi, Dds, Inc | Dentist | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2007-04-11 |
| 1891331302 | Nancy Orjiakor | Dental Hygienist | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2019-11-19 |
| 1649735242 | Chrystal Amalia Colon | Dental Assistant | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2019-02-07 |
| 1790279222 | Rhonda Gaba | Dental Assistant | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2018-06-18 |
| 1720576119 | Javier Hernandez | Dental Assistant | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2018-05-01 |
| 1255770343 | Sherwin Jerome Taylor | Dental Hygienist | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2013-06-21 |
| 1790123966 | Westcoast Dental | Dental Hygienist | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2013-06-11 |
| 1720324494 | Cohen Sedgh, Manavi & Pakravan Dental Corporation | Dentist | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2012-12-27 |
| 1942514468 | Octavio Maldonado | Dental Assistant | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2010-07-27 |
| 1992943922 | Ana E Gonzalez | Dental Assistant | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2009-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1457982209 | Phuong Thanh Le | Dental Hygienist | 13450 S. Hawthorne Blvd., Hawthorne, CA 90250-5806 | 2020-01-30 |
| 1497368518 | Amanda Flores | Dental Hygienist | 13450 Hawthorne Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1447881875 | Bethany Icel Antonio Lauria | Dental Hygienist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250-5806 | 2020-02-04 |
| 1891331302 | Nancy Orjiakor | Dental Hygienist | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2019-11-19 |
| 1477019289 | Uyen Nguyen Andrade | Dental Hygienist | 13450 Hawthorne Blvd, Hawthorne, CA 90250-5806 | 2019-02-17 |
| 1699289421 | Trenais Marie Roberts | Dental Hygienist | 13450 Hawthorne Blvd, Hawthorne, CA 90250-5806 | 2017-12-01 |
| 1194117838 | Mai Tran | Dental Hygienist | 13220 Hawthorne Blvd, Hawthorne, CA 90250-5804 | 2015-03-03 |
| 1760814503 | Luna Katharina Ochoa | Dental Hygienist | 13450 Hawthorne Blvd, Hawthorne, CA 90250-5806 | 2013-08-03 |
| 1255770343 | Sherwin Jerome Taylor | Dental Hygienist | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2013-06-21 |
| Find all providers in HAWTHORNE | ||||
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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.