DR. DEEPA SREENIVASAN (NPI# 1578678389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578678389 |
| Entity Type | Individual |
| Full Name | DR. DEEPA SREENIVASAN |
| Credential | D.D.S. |
| Practice Address |
8540 S Sepulveda Blvd Suite 710 Los Angeles CA 90045-3807 |
| Practice Telephone | 3102165754 |
| Mailing Telephone | 3102165754 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2015-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
50990 | CA | Dental Providers |
| Street Address |
8540 S SEPULVEDA BLVD SUITE 710 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811992738 | Ifeoma Stella Izuchukwu | Internal Medicine | 8540 S Sepulveda Blvd, Ste 116, Los Angeles, CA 90045-3819 | 2005-06-16 |
| 1770034159 | Danielle Alyse Brown | Dentist | 8540 S Sepulveda Blvd, 1102, Los Angeles, CA 90045-3807 | 2016-10-20 |
| 1346608676 | George B. Shinn Dds P.c | Dentist | 8540 S Sepulveda Blvd, #1200, Los Angeles, CA 90045-3807 | 2016-02-01 |
| 1770955809 | Benjamin Rosenberg, Dds Apc | Clinic/Center | 8540 S Sepulveda Blvd, Ste 1000, Los Angeles, CA 90045-3807 | 2015-10-28 |
| 1508245192 | Theodore Burnett, Dds, Inc | Dentist | 8540 S Sepulveda Blvd, Suite 918, Los Angeles, CA 90045-3807 | 2015-05-28 |
| 1902204621 | Richard Barry Feinstein | Dentist | 8540 S Sepulveda Blvd, Suite 1210, Los Angeles, CA 90045-3807 | 2014-12-11 |
| 1750787800 | Omid Vatan Dental Corp | Dentist | 8540 S Sepulveda Blvd, 108, Los Angeles, CA 90045-3807 | 2014-11-17 |
| 1265834121 | Sony Naing | Nurse Practitioner | 8540 S Sepulveda Blvd, Suite 818-a, Los Angeles, CA 90045-3807 | 2014-09-23 |
| 1790199370 | Andrew Leitner Md Inc | Anesthesiology | 8540 S Sepulveda Blvd, Suite 910, Los Angeles, CA 90045-3807 | 2014-06-11 |
| 1164859666 | Optimal Physical Therapy Inc | Physical Therapist | 8540 S Sepulveda Blvd, Ste 916, Los Angeles, CA 90045-3807 | 2013-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
| Find all providers in zip 90045 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1326535949 | Haejin Kang | Dentist | 3932 Wilshire Blvd Ste 200, Los Angeles, CA 90010-3307 | 2018-04-19 |
| 1609382860 | Dr Daniel Meir Klein Dds, Apc | Dentist | 5001 Wilshire Blvd Ste 209, Los Angeles, CA 90036-6104 | 2017-12-22 |
| 1154858082 | Jenny Garcia | Dentist | 1042 1/2 N Ardmore Ave, Los Angeles, CA 90029-2402 | 2017-05-23 |
| 1013365881 | Jessica Yoon Kyung Pack | Dentist | 1234 Wilshire Blvd Apt 212, Los Angeles, CA 90017-1974 | 2016-06-02 |
| 1588011225 | Chelsea Elese Zamudio | Dentist | 1125 S Wooster St, Los Angeles, CA 90035-1405 | 2016-05-23 |
| 1457707861 | Denisse Monroy | Dentist | 11900 Goshen Ave Apt 103, Los Angeles, CA 90049-6379 | 2016-05-04 |
| 1851784268 | Woo Ram Lee | Dentist | 1343 S Carmelina Ave, Apt 7, Los Angeles, CA 90025-1987 | 2015-03-09 |
| 1982010427 | Tiffany Wu | Dentist | 5262 E Beverly Blvd, Los Angeles, CA 90022-2002 | 2014-07-04 |
| 1447664578 | Jack Yeung | Dentist | 1222 Mcclellan Dr Apt 2, Los Angeles, CA 90025-1010 | 2014-06-17 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
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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.