DR. ROBERT BOOTEHSAZ (NPI# 1932375300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932375300 |
| Entity Type | Individual |
| Full Name | DR. ROBERT BOOTEHSAZ |
| Credential | DMD |
| Practice Address |
19458 Ventura Blvd Ste 10 Tarzana CA 91356-3037 |
| Mailing Address |
16274 Bertella Dr Encino CA 91436-3302 |
| Practice Telephone | 8183048021 |
| Mailing Telephone | 3102706953 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2014-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 56953 | CA | Dental Providers |
| Street Address |
19458 VENTURA BLVD STE 10 |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-3037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952854176 | Summy Abbassi | Dentist | 19458 Ventura Blvd Ste 10, Tarzana, CA 91356-3037 | 2016-07-25 |
| 1710354006 | Summy A Abbassi Dds | Clinic/Center | 19458 Ventura Blvd Ste 10, Tarzana, CA 91356-3037 | 2015-08-21 |
| 1689087199 | Robert Bootehsaz Dmd Inc | Clinic/Center | 19458 Ventura Blvd Ste 10, Tarzana, CA 91356-3037 | 2014-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| 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 |
|---|---|---|---|---|
| 1417435926 | David Esraeli | Dentist | 5523 Tampa Ave, Tarzana, CA 91356-3026 | 2018-08-06 |
| 1720444250 | Shahin Shamsian D.d.s Inc | Dentist | 5620 Wilbur Ave Ste 309, Tarzana, CA 91356-1311 | 2016-01-13 |
| 1225407091 | Cathy Sargent | Dentist | 18663 Ventura Blvd Ste 200, Tarzana, CA 91356-4197 | 2015-09-22 |
| 1518342765 | Daniel Sang-joon Lee | Dentist | 19527 Rosita St, Tarzana, CA 91356-4922 | 2015-07-29 |
| 1497155956 | Tania Farshi | Dentist | 5111 Otis Ave, Tarzana, CA 91356-4209 | 2014-09-02 |
| 1639456239 | Parisa Eshaghian | Dentist | 5133 Nestle Ave, Tarzana, CA 91356-4342 | 2011-11-10 |
| 1720383532 | Neli Kakoli | Dentist | 18375 Ventura Blvd # 727, Tarzana, CA 91356-4218 | 2011-01-26 |
| 1821312273 | Bella Reznik | Dentist | 19525 Ventura Blvd, Tarzana, CA 91356 | 2010-03-15 |
| 1225248230 | Michael Elyson | Dentist | 19642 Ventura Blvd, Suite B, Tarzana, CA 91356-7125 | 2007-05-22 |
| 1710107487 | Lucia Paxton | Dentist | 5550 Reseda Blvd, Ste. 2, Tarzana, CA 91356-2608 | 2007-04-26 |
| Find all providers in TARZANA | ||||
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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.