REZA M BIRJANDI DDS A PROFESSIONAL CORPORATION (NPI# 1689863987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689863987 |
| Entity Type | Organization |
| Organization Name | REZA M BIRJANDI DDS A PROFESSIONAL CORPORATION |
| Other Organization Name | CROSSROADS FAMILY DENTAL GROUP |
| Practice Address |
1675 N Perris Blvd Suite A1 Perris CA 92571 |
| Practice Telephone | 9516572222 |
| Practice Fax Number | 9516573582 |
| Mailing Telephone | 9516572222 |
| Mailing Fax Number | 9516573582 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | DR. REZA MOHAMMAD BIRJANDI (OWNER DDS) |
| Authorized Official Telephone | 9516572222 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | RESA M BIRJANDI |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 38259 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI CAL | G9410102 | 01 |
| Other Name | Type Code |
|---|---|
| Crossroads Family Dental Group | Other Name - Individual/Organization |
| Street Address |
1675 N PERRIS BLVD SUITE A1 |
| City | PERRIS |
| State | CA |
| Zip Code | 92571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801289939 | Carmencita Benito Arda | Nurse Practitioner | 1675 N Perris Blvd, Suite G1, Perris, CA 92571-4726 | 2015-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376199422 | Pico De Loro, Incorporated | Assisted Living Facility | 620 North Perris Boulevard, Perris, CA 92571 | 2019-08-14 |
| 1053802579 | Kadiatou Dafney | Nurse Practitioner | 126 Avocado Ave Ste 106, Perris, CA 92571 | 2018-05-21 |
| 1730677014 | Ruth Gasselle Rodriguez | Nutritionist | 1020 Huntington Way, Perris, CA 92571 | 2018-04-23 |
| 1649788167 | Leslie Bautista | Counselor | 1276 Autumnwood Ln, Perris, CA 92571 | 2018-01-18 |
| 1588180459 | Eduardo Orozco-zavala | Licensed Vocational Nurse | 85 Ramona Expressway, Suite 1, Perris, CA 92571 | 2017-08-22 |
| 1396267365 | National Vision, Inc. | Technician/Technologist | 1850 N Perris Boulevard, Suite 40, Perris, CA 92571 | 2017-07-12 |
| 1336669506 | Gary Huang | Optometrist | 1850 N Perris Boulevard Ste 40, Perris, CA 92571 | 2017-06-20 |
| 1750814745 | New Beginnings Residential Tf | Residential Treatment Facility, Emotionally Disturbed Children | 106 Worth St, Perris, CA 92571 | 2017-04-06 |
| 1013456235 | Sohal and Pham Dental Corporation | Dentist | 1820 Perris Blvd, Suite 70, Perris, CA 92571 | 2017-02-21 |
| 1093267569 | New Beginnings Residential Tf | Residential Treatment Facility, Emotionally Disturbed Children | 2464 Slew of Gold Ct, Perris, CA 92571 | 2016-10-31 |
| Find all providers in zip 92571 | ||||
| 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 |
|---|---|---|---|---|
| 1790215697 | Western Dental Services, Inc. | Dentist | 1688 N Perris Blvd Ste S-103, Perris, CA 92571-4709 | 2017-06-14 |
| 1013456235 | Sohal and Pham Dental Corporation | Dentist | 1820 Perris Blvd, Suite 70, Perris, CA 92571 | 2017-02-21 |
| 1174931661 | Tien Tran | Dentist | 21091 Rider St., Suite 203, Perris, CA 92570-4026 | 2014-07-28 |
| 1619385358 | Hareesh Dental Corporation | Dentist | 391 Wilkerson Ave Ste A&b, Perris, CA 92570-2254 | 2014-07-25 |
| 1881021434 | Kwon Dds Professional Corporation | Dentist | 21091 Rider St, Suite 203, Perris, CA 92570-8878 | 2013-09-27 |
| 1427363514 | Gilberto Olague | Dentist | 701 S D St, Perris, CA 92570-2419 | 2010-08-12 |
| 1679720965 | Patricia Mercado | Dentist | 555 Gloriosa Ave, Perris, CA 92571-7823 | 2008-08-19 |
| 1073700324 | Daniel Lynn Hulse | Dentist | 1675 N Perris Blvd Ste A1, Perris, CA 92571-4723 | 2007-10-01 |
| 1134329030 | Tejas Modi Dds Inc | Dentist | 75 W Nuevo Rd Ste A&b, Perris, CA 92571 | 2007-07-19 |
| 1851446660 | Vishal R Dhuliya | Dentist | 75 W Nuevo Rd, Stes A&b, Perris, CA 92571-0801 | 2007-01-24 |
| Find all providers in PERRIS | ||||
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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.