EHSAN REZVAN (NPI# 1902985492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902985492 |
| Entity Type | Individual |
| Full Name | EHSAN REZVAN |
| Credential | DDS, MS |
| Practice Address |
7880 Wren Ave Building D Suite 144 Gilroy CA 95020-4943 |
| Practice Telephone | 4088429045 |
| Practice Fax Number | 4088427057 |
| Mailing Telephone | 4088429045 |
| Mailing Fax Number | 4088427057 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
53479 | CA | Dental Providers |
| Street Address |
7880 WREN AVE BUILDING D SUITE 144 |
| City | GILROY |
| State | CA |
| Zip Code | 95020-4943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881684884 | Edward Leroy Vines | Dentist | 7880 Wren Ave, Suite B-121, Gilroy, CA 95020-4943 | 2005-10-21 |
| 1275044935 | Aishwarya Surya Kumar | Dentist | 7880 Wren Ave, Gilroy, CA 95020-4943 | 2017-10-20 |
| 1477090892 | Seung Hwan An | Dentist | 7880 Wren Ave, Suite B-125, Gilroy, CA 95020-4943 | 2017-01-23 |
| 1023554334 | Padre Pio's Home Health Care Services, Inc | Home Health | 7880 Wren Ave, Ste C-134, Gilroy, CA 95020-4943 | 2017-01-10 |
| 1912450974 | Rehabone Medical Group, Inc. | Physical Medicine & Rehabilitation | 7880 Wren Ave, Ste F-163, Gilroy, CA 95020-4943 | 2016-07-26 |
| 1558712398 | Kinberly Antrim Dds Dental Corporation | Clinic/Center | 7880 Wren Ave, Suite A-113, Gilroy, CA 95020-4943 | 2016-06-23 |
| 1689000184 | Jeannine Sacco | Nurse Practitioner | 7880 Wren Ave, Suite E153, Gilroy, CA 95020-4943 | 2013-09-17 |
| 1033341110 | Binh Phuc Pham | Dentist | 7880 Wren Ave, Suite C131, Gilroy, CA 95020-4943 | 2009-08-21 |
| 1164696803 | Edward L. Vines Dds Inc A Dental Corporation | Dentist | 7880 Wren Ave, Suite B-121, Gilroy, CA 95020-4943 | 2008-04-14 |
| 1033398243 | Efrain A Montana Dds Adriana A Villarreal Dds A Professional Corp. | Dentist | 7880 Wren Ave, Ste D-145, Gilroy, CA 95020-4943 | 2007-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158105 | Benjamin Liupaogo | Case Manager/Care Coordinator | Rebekah Children's Services, 290 Ioof Ave, Gilroy, CA 95020 | 2020-09-09 |
| 1205457330 | Ethel Rostran | Counselor | 290 I00f Ave., Gilroy, CA 95020 | 2020-04-29 |
| 1407498868 | Mehak Saini | Behavior Technician | 9360 Noname Uno, Gilroy, CA 95020 | 2019-10-16 |
| 1629622899 | Bruce Daniel Pirl | Counselor | 290 Ioof Rebekah Children Ave, 290 Ioof Avenue-phoenix School, Gilroy, CA 95020 | 2019-07-26 |
| 1932752490 | Eamon F. Burke | Counselor | Rebekah Children Services, 290 Ioof Ave., Gilroy, CA 95020 | 2019-07-23 |
| 1578116232 | Jose Enrique Cruz | Behavior Technician | 9360 Noname Uno #130, Gilroy, CA 95020 | 2019-07-22 |
| 1558925560 | Mauricio Hazael Procopio | Behavioral Analyst | 9360 Noname Uno Suite 130, Gilroy, CA 95020 | 2019-04-24 |
| 1689138893 | Gabriela Mendoza | Behavioral Analyst | 9395 Kern Ave, Gilroy, CA 95020 | 2019-01-22 |
| 1972082782 | Andrea Gloria Blanton | Social Worker | Rebekah Children's Services, 290 100f Ave, Gilroy, CA 95020 | 2018-08-13 |
| 1407334626 | Katrina Davina Aguilera | Case Manager/Care Coordinator | 290 Loof Ave., Gilroy, CA 95020 | 2018-07-31 |
| Find all providers in zip 95020 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346362274 | Ming Fai Tommy Tong | Dentist | 7880 Wren Ave Ste C132, Gilroy, CA 95020-7801 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
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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.