Anil P Punjabi, MD, DDS, Inc.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

G85143 Issued in CA

Legal business name

ANIL P PUNJABI, MD, DDS, INC.

Practice address

295 Terracina Blvd
Redlands, CA 92373-4847

Phone

(909) 798-9950

NPI assigned

Nov 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Anil P Punjabi, M.D.,D.D.S.NPI 1821194192

Title

President

Phone

(909) 798-9950

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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

• Anil Pitamber Punjabi, MD, DDS

  • Plastic Surgery Physician
  • Redlands, CA
  • NPI 1821194192

  Oral and Maxillofacial Surgery

  Medicare reassignment NPD Authorized official
• Sami Barham Nazzal, M.D.

  • Interventional Cardiology Physician
  • San Bernardino, CA
  • NPI 1053385575
  NPD (past)
• Yaser A Slayyeh, M.D.

  • Specialist
  • San Bernardino, CA
  • NPI 1932174612
  NPD (past)

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1316127947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 TERRACINA BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734847",
            "telephone_number": "909-798-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 TERRACINA BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734847",
            "telephone_number": "909-798-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIL P PUNJABI, MD, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "PUNJABI",
        "authorized_official_first_name": "ANIL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-798-9950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "38217",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A73833",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "G85143",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A73833",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G85143",
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "38217",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G851430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel Hands Therapy Services Inc.
• Christopher Peter Angel
• Gregory Angeloni, LVN
• Julia Yutin Angkadjaja, M.D.
• William Angkadjaja, MD
• Jordan Ankenman, LMFT
• Nicole Michelle Antonio, M.D.
• Martha Anzola
• Lorenzo A Apodaca, M.D.
• Arash Arad, M.B.A., D.D.S.

• Plastic and Reconstructive Surgery Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.