Gustavo a. Assatourians D.D.S. Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

53751 Issued in CA

Legal business name

GUSTAVO A. ASSATOURIANS D.D.S. INC.

Doing business as

Channel Islands Family Dental Office

Practice address

2601 N Ventura Rd
Port Hueneme, CA 93041-2048

Phone

(805) 985-6966

Fax

(805) 984-6067

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gustavo Ariel Assatourians, DDSNPI 1013064625

Title

Owner/Dr.

Phone

(805) 985-6966

Specialties & licenses 1

Addresses

Other names 1

• Channel Islands Family Dental Office Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gustavo Ariel Assatourians, D.D.S

  • General Practice Dentistry
  • Port Hueneme, CA
  • NPI 1013064625
  NPD (past) Authorized official
• Sason Dardashti

  • Dentist
  • Port Hueneme, CA
  • NPI 1871146951
  NPD (past)

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1063600898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 N VENTURA RD",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930412048",
            "telephone_number": "805-985-6966",
            "fax_number": "805-984-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N VENTURA RD",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930412048",
            "telephone_number": "805-985-6966",
            "fax_number": "805-984-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVO A. ASSATOURIANS D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "ASSATOURIANS",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "ARIEL",
        "authorized_official_title_or_position": "OWNER/DR.",
        "authorized_official_telephone_number": "805-985-6966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "53751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Channel Islands Family Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Araly Abigail Fernandez
• Amy Galin, M.D.
• Nancy Garcia
• Kyle Leonard Gosselin, IDC
• Natalie R Grandmont
• Weston Joseph Gutierrez I
• Erica Haaseth
• Shadi Haddadin
• Andrew Tyson Hammond, I.D.C
• Mark Kevin Harney, PH.D.

• Dental Clinic/Center in Port Hueneme, CA
• Providers in Port Hueneme, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.