SHAPOUR ETEMADZADEH (NPI# 1891941597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891941597 |
| Entity Type | Individual |
| Full Name | SHAPOUR ETEMADZADEH |
| Credential | R.D.H. |
| Practice Address |
3490 Palm Ave San Diego CA 92154 |
| Practice Telephone | 6194231351 |
| Practice Fax Number | 6194231407 |
| Mailing Telephone | 6194231351 |
| Mailing Fax Number | 6194231407 |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | RDH 15077 | CA | Dental Providers |
| Street Address |
3490 PALM AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528072410 | Jose L Lopez | Dentist | 3490 Palm Ave, San Diego, CA 92154 | 2006-07-28 |
| 1073704524 | Marcos Borrero Md. Inc. | Internal Medicine | 3490 Palm Ave, San Diego, CA 92154-1664 | 2007-08-08 |
| 1134258148 | Ildiko Christine Gerbatsch-bornemisza | Family Medicine | 3490 Palm Ave, San Diego, CA 92154-1664 | 2007-03-05 |
| 1700915808 | Jose L. Lopez, Dds, Inc | Dentist | 3490 Palm Ave, San Diego, CA 92154-1664 | 2007-03-05 |
| 1215066881 | Kambiz Hamrang | Obstetrics & Gynecology | 3490 Palm Ave, San Diego, CA 92154-1664 | 2007-03-02 |
| 1396853065 | Ricardo Bravo | Physician Assistant | 3490 Palm Ave, San Diego, CA 92154-1664 | 2006-08-25 |
| 1790898369 | Anselmo Roldan | Internal Medicine | 3490 Palm Ave, San Diego, CA 92154-1664 | 2006-08-16 |
| 1952312621 | Marcos Borrero | General Practice | 3490 Palm Ave, San Diego, CA 92154-1664 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952922783 | Rosalie Ramos Gayares | Licensed Vocational Nurse | Del Sur Crisis Center, San Diego, CA 92154 | 2020-05-04 |
| 1720625791 | Michelle Lynn Mason | Counselor | 892 27th Street, San Diego, CA 92154 | 2019-12-09 |
| 1538604020 | Victor Luis Assid | Counselor | 3069 Camino Aleta, San Diego, CA 92154 | 2016-12-20 |
| 1710346275 | Abba Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5640 Surfrider Way #255, San Diego, CA 92154 | 2016-02-12 |
| 1851788962 | Danielle D. Weisman | Psychologist | 9335 Airway Rd Ste 202, San Diego, CA 92154 | 2015-04-16 |
| 1215321955 | Carolina Gonzalez-garcia | Marriage & Family Therapist | 3085 Beyer Blvd Ste A103, San Diego, CA 92154 | 2015-03-19 |
| 1285042945 | Maricela Ochoa | Pharmacist | 710 Dennery Road, San Diego, CA 92154 | 2014-07-25 |
| 1376975300 | Shatori R Dearman | Social Worker | 5143 Bay Crest Ln, San Diego, CA 92154 | 2013-08-01 |
| 1912257940 | Bj's Trading LLC | Durable Medical Equipment & Medical Supplies | 9668 Heinrich Hertz Drive Suite G, San Diego, CA 92154 | 2012-09-18 |
| 1881997625 | Tywila Reeves Bivens | Nurse's Aide | 976 Picador Blvd, San Diego, CA 92154 | 2010-12-17 |
| Find all providers in zip 92154 | ||||
| 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 |
|---|---|---|---|---|
| 1427657261 | Julie Lynn March | Dental Hygienist | 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 | 2020-10-22 |
| 1063011120 | Pamela Ann Reid-williams | Dental Hygienist | 4155 Spillman Dr, San Diego, CA 92105-5207 | 2020-10-20 |
| 1053928986 | Xueyan Yang | Dental Hygienist | 13593 Cantare Trl, San Diego, CA 92130-1305 | 2020-09-24 |
| 1245852110 | Amber D Riley | Dental Hygienist | 2929 Cowley Way Unit G, San Diego, CA 92117-6824 | 2020-05-13 |
| 1013542976 | Sarah Lisabeth St John | Dental Hygienist | 17107 Montura Dr, San Diego, CA 92128-2127 | 2020-03-10 |
| 1053872275 | Erika Hernandez | Dental Hygienist | 600 Mc Cain Blvd, San Diego, CA 92135 | 2019-03-29 |
| 1952876138 | Kathleen Batenga | Dental Hygienist | 6253 Avenida De Las Vistas Unit 1, San Diego, CA 92154-6619 | 2018-10-03 |
| 1043791403 | Maricruz Barba | Dental Hygienist | 7734 Backer Rd, San Diego, CA 92126-3568 | 2018-08-23 |
| 1053810598 | Tamara Lindley | Dental Hygienist | 18528 Caminito Pasadero, San Diego, CA 92128-1062 | 2018-02-11 |
| 1316452931 | Enrico Resurreccion Santos | Dental Hygienist | 2310 Craven St. Bldg. 3230, San Diego, CA 92104 | 2017-12-05 |
| 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.