Anna Grinberg Ahani, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS101310 Issued in CA

Practice address

12395 El Camino Real Ste 312
San Diego, CA 92130-3085

Phone

(858) 259-0331

NPI assigned

Sep 22, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jaye Venuti, DDS Prof. Dental Corp

  • Pediatric Dentistry
  • San Diego, CA
  • NPI 1457571390
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1033427232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12395 EL CAMINO REAL STE 312",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303085",
            "telephone_number": "858-259-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12395 EL CAMINO REAL STE 312",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303085",
            "telephone_number": "858-259-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINBERG AHANI",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038941",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS101310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Grimmett, CLC, ICCE
• Kathy Grimsby
• Brandon Grimsley, PT, DPT
• Marissa Grimsley
• Rachel D Grina, PHYSICIAN ASSISTANT
• Kendra Ann Grinde-Busalacchi, RDN, CDE
• Devin Michelle Grindrod
• Brett Grinnell, MSW
• Victoria Anne Grinnell, MSW
• Mackenzie Gripp

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.