DR. JAY BRIAN REZNICK (NPI# 1962519272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962519272 |
| Entity Type | Individual |
| Full Name | DR. JAY BRIAN REZNICK |
| Credential | M.D., D.M.D. |
| Practice Address |
18372 Clark St Suite 224 Tarzana CA 91356-3508 |
| Practice Telephone | 8189961200 |
| Practice Fax Number | 8189961325 |
| Mailing Telephone | 8189961200 |
| Mailing Fax Number | 8189961325 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
37485 | CA | Dental Providers |
| X | 204E00000X | Oral & Maxillofacial Surgery | A055148 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
18372 CLARK ST SUITE 224 |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-3508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427027572 | Lawrence Strick | Allergy & Immunology | 18372 Clark St, Ste 208, Tarzana, CA 91356 | 2006-03-14 |
| 1053762138 | Marcos Fleiderman Md Corp | Clinic/Center | 18372 Clark St, Suite 212, Tarzana, CA 91356-3508 | 2016-06-29 |
| 1487082442 | Rachel Goodman | Dietitian, Registered | 18372 Clark St, Suite 228, Tarzana, CA 91356-3508 | 2013-10-29 |
| 1437463957 | Marcos B Fleiderman M D Medical Corporation | Internal Medicine | 18372 Clark St, Suite 212, Tarzana, CA 91356-3508 | 2010-07-27 |
| 1003016494 | Jay B. Reznick, Dmd, Md, Inc. | Dentist | 18372 Clark St, Suite 224, Tarzana, CA 91356-3508 | 2007-07-23 |
| 1114140464 | Medical Nutrition Network LLC | Dietitian, Registered | 18372 Clark St, Suite 228, Tarzana, CA 91356-3508 | 2007-04-11 |
| 1083775696 | Susan J Lee | Dentist | 18372 Clark St, Suite 224, Tarzana, CA 91356-3508 | 2006-12-13 |
| 1063585214 | Valley Regional Arrhythmia Center Inc | Specialist | 18372 Clark St, Suite 218, Tarzana, CA 91356-3508 | 2006-11-16 |
| 1881763472 | Ellen Thomson Bauersfeld | Dietitian, Registered | 18372 Clark St, Suite 226, Tarzana, CA 91356-3508 | 2006-11-07 |
| 1043232960 | Larry Eisenberg | Pediatrics | 18372 Clark St, #216, Tarzana, CA 91356 | 2006-07-24 |
| Find all providers in the same location | ||||
| 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 | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700037710 | George A Maranon Oral Maxillofacial Surgery | Dentist | 18411 Clark St, Suite # 204, Tarzana, CA 91356-3506 | 2008-10-08 |
| 1376746024 | Jean-paul W Davis | Dentist | 18399 Ventura Blvd, Suite #251, Tarzana, CA 91356-4233 | 2007-06-08 |
| 1083775696 | Susan J Lee | Dentist | 18372 Clark St, Suite 224, Tarzana, CA 91356-3508 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1609493170 | Amir Haghshenas Dds | Dentist | 3880 S Bascom Ave Ste 213, San Jose, CA 95124-2675 | 2020-07-01 |
| 1316568900 | Beech & Reid Dental Partnership | Dentist | 464 E Calaveras Blvd Ste B3, Milpitas, CA 95035-5412 | 2020-05-05 |
| 1518506773 | Francisco Suarez, Dds Inc. | Dentist | 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 | 2020-01-04 |
| 1831748839 | Slate Dental Corporation | Dentist | 6512 Lonetree Blvd Ste 100, Rocklin, CA 95765-5883 | 2019-09-11 |
| 1255980140 | Dr Maloux Macasaet Saguin Dental Corporation | Dentist | 9800 Topanga Canyon Blvd Ste J, Chatsworth, CA 91311-4075 | 2019-09-04 |
| 1891342267 | Amrollahie and Riman Dental Partnership | Dentist | 1442 Irvine Blvd Ste 225, Tustin, CA 92780-3846 | 2019-08-21 |
| 1548821572 | Hoang Dental Corporation | Dentist | 1356 W Valley Pkwy Ste J, Escondido, CA 92029-2138 | 2019-06-20 |
| 1073173860 | Omfs Care Center Partners | Dentist | 215 N Fresno St Ste 490, Fresno, CA 93701-0000 | 2019-06-14 |
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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.