Athena Medical Group of the Central Coast, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ATHENA MEDICAL GROUP OF THE CENTRAL COAST, INC.

Doing business as

Aria Dental

Practice address

515 Alameda Ave Ste a
Salinas, CA 93901-4024

Phone

(831) 900-5113

Fax

(831) 900-5113

NPI assigned

May 17, 2021

Last updated

May 17, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

ATHENA MEDICAL GROUP OF THE CENTRAL COASTAs reported in NPPES

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

Authorized official

Name

William Khieu, MDNPI 1942203526

Title

President

Phone

(831) 665-6084

Specialties & licenses 1

Addresses

Other names 1

• ARIA DENTAL Doing business as

Part of

Athena Medical Group of the

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Athena Medical Group of the Central Coast, Inc.

  • Clinic/Center
  • Salinas, CA
  • NPI 1396178067
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Khieu, MD

  • Family Medicine Physician
  • Salinas, CA
  • NPI 1942203526
  NPD Authorized official
• Christine Jacorie Russell, M.D., M.B.A.

  • Family Medicine Physician
  • Beaumont, CA
  • NPI 1710367420
  NPD

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1326612193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10627",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939127627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 ALAMEDA AVE STE A",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014024",
            "telephone_number": "831-900-5113",
            "fax_number": "831-900-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA MEDICAL GROUP OF THE CENTRAL COAST, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHENA MEDICAL GROUP OF THE CENTRAL COAST",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "KHIEU",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-665-6084",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARIA DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paxton Ataide
• Marie Atallah
• Muneera Atcha
• Jerel Garban Atengco
• Jonah Joel Atengco, LVN
• Athena Medical Group of the Central Coast, Inc.
• Atkinson Dental Corporation (Reseda Dental Care)
• Stanley Wayne Atkinson, D.D.S.
• Atul Jani Inc a Medical Corp
• Kristine Michele Augusta, MSW

• Dental Clinic/Center in Salinas, CA
• Providers in Salinas, 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 May 17, 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.