AAVA DENTAL OF FOOTHILL RANCH A MANSOUR DENTAL GROUP INC RODEO MANAGEM (NPI# 1679906895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679906895 |
| Entity Type | Organization |
| Organization Name | AAVA DENTAL OF FOOTHILL RANCH A MANSOUR DENTAL GROUP INC RODEO MANAGEM |
| Other Organization Name | AAVA DENTAL OF FOOTHILL RANCH |
| Practice Address |
27462 Portola Pkwy Ste 205 Foothill Ranch CA 92610-2838 |
| Practice Telephone | 8175298151 |
| Practice Fax Number | 8175298156 |
| Mailing Telephone | 8175298151 |
| Mailing Fax Number | 8175298156 |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |
| Authorized Official Name | YAHYA MANSOUR (OWNER) |
| Authorized Official Telephone | 8175298151 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 58012 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| AAVA DENTAL OF FOOTHILL RANCH | Doing Business As Name - Organization |
| Street Address |
27462 PORTOLA PKWY STE 205 |
| City | FOOTHILL RANCH |
| State | CA |
| Zip Code | 92610-2838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659461739 | Jason Randall Ballou | Dentist | 27462 Portola Pkwy, Suite #205, Foothill Ranch, CA 92610-2815 | 2006-10-13 |
| 1922533918 | Clarity Anesthesia Medical Group | Anesthesiology | 27462 Portola Pkwy, Suite 101, Foothill Ranch, CA 92610-2838 | 2017-04-27 |
| 1023421146 | Prime Surgical Center of Foothill Ranch | Clinic/Center | 27462 Portola Pkwy, Suite 100, Foothill Ranch, CA 92610-2838 | 2014-06-05 |
| 1558611863 | Hootan Daneshmand M D Incorporated | Plastic Surgery | 27462 Portola Pkwy, Suite 100, Foothill Ranch, CA 92610-2838 | 2012-09-13 |
| 1922151638 | Roy Masato Hayashi | Dentist | 27462 Portola Pkwy, Suite 200, Foothill Ranch, CA 92610-2815 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406945 | Jane Swartz | Technician | 26322 Towne Centre Dr #617, #617, Foothill Ranch, CA 92610 | 2019-09-17 |
| 1982128807 | Arlyn P Sabado | Dietitian, Registered | 26371 Paloma Apt 35, Foothill Ranch, CA 92610 | 2017-08-02 |
| 1710408729 | Alberto Huerta | Specialist/Technologist | 11 Enfilade Ave, Foothill Ranch, CA 92610 | 2017-06-29 |
| 1932411022 | Aimee Katharine Belier Trujillo | Dentist | 45 Auto Center Dr Ste 110, Foothill Ranch, CA 92610 | 2010-07-06 |
| 1346453321 | Leonard Stephen Vaughan | Dentist | 26730 Towne Centre Drive, Suite 105, Foothill Ranch, CA 92610 | 2007-05-07 |
| 1619189586 | Dana M Roberts Dds Inc | Dentist | 26700 Towne Centre Drive, Suite 240, Lake Forest, CA 92610 | 2007-05-04 |
| 1336205376 | Global Wellness Medical Corporation | Family Medicine | 26740 Towne Centre Drive, Foothill Ranch, CA 92610 | 2006-12-27 |
| 1235229253 | Reagan and Pandhoh Dental Corporation | Dentist | 45 Auto Center Dr, Ste. 110, Foothill Ranch, CA 92610 | 2006-10-13 |
| 1306953229 | Sumeet S Pandhoh | Dentist | 45 Auto Center Drive, Ste. 110, Foothill Ranch, CA 92610 | 2006-08-24 |
| 1619987617 | Hootan M Daneshmand | Plastic Surgery | 27462 Portola Parkway, Suite 100, Foothill Ranch, CA 92610 | 2006-08-09 |
| Find all providers in zip 92610 | ||||
| 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 |
|---|---|---|---|---|
| 1205229598 | Kiarash Karimi | Dentist | 27462 Portola Pkwy Ste 205, Foothill Ranch, CA 92610-2838 | 2015-03-10 |
| 1700178860 | Nasem Mojarrad Dunlop | Dentist | 26700 Towne Centre Dr Ste 270, Foothill Ranch, CA 92610-2844 | 2011-05-09 |
| 1265721112 | Peter H. Leou | Dentist | 26730 Towne Centre Dr Ste 201, Foothill Ranch, CA 92610-2842 | 2011-03-31 |
| 1447405600 | Kathryn Marie Le | Dentist | 35 Sagecrest, Foothill Ranch, CA 92610-2455 | 2008-12-01 |
| 1699855593 | Huy Dang | Dentist | 26676 Portola Pkwy Ste C, Foothill Ranch, CA 92610-1764 | 2006-10-16 |
| 1659461739 | Jason Randall Ballou | Dentist | 27462 Portola Pkwy, Suite #205, Foothill Ranch, CA 92610-2815 | 2006-10-13 |
| 1619423027 | Dana Roberts-rieger | Dentist | 26700 Towne Centre Dr, Suite 240, Foothill Ranch, CA 92610-2844 | 2016-08-27 |
| 1013462282 | All Smiles Dentistry | Dentist | 26700 Towne Centre Dr, Suite 160, Foothill Ranch, CA 92610-2844 | 2016-08-17 |
| 1760744734 | Ratandeep Kaur Bawa Dds Inc | Dentist | 26700 Towne Centre Dr, Ste 260, Foothill Ranch, CA 92610-2844 | 2012-06-14 |
| 1679690721 | Mauricio Cardenas Dds Inc | Dentist | 26720 Towne Centre Dr, Suite #b Mc Cosmetic Dentistry, Foothill Ranch, CA 92610 | 2007-03-23 |
| Find all providers in FOOTHILL RANCH | ||||
| City | FOOTHILL RANCH |
| Zip Code | 92610 |
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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.