NPIMap

Organization Active NPI

Nguyen, Ghorbanian

  • Dentist
  • Fullerton, CA
National Provider Identifier
1356876452
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53515 Issued in CA
Legal business name
NGUYEN, GHORBANIAN
Doing business as
Aava Dental of Fullerton
Practice address
3153 Yorba Linda Blvd
Fullerton, CA 92831-2307
Phone
(714) 986-9902
NPI assigned
Apr 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Authorized official

Name
Dr. Abraham Ghorbanian
Title
Ceo/President
Phone
(949) 450-0076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 53515 CA Primary

Addresses

Primary practice location

3153 Yorba Linda Blvd
Fullerton, CA 92831-2307

Mailing address

3153 Yorba Linda Blvd
Fullerton, CA 92831-2307
Phone (714) 986-9902

Other names 1

  • Aava Dental of Fullerton Doing business as

National Provider Directory

National Provider Directory

Locations

3153 Yorba Linda Blvd
Fullerton, CA 92831
Phone (714) 986-9902

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1356876452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3153 YORBA LINDA BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928312307",
            "telephone_number": "714-986-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3153 YORBA LINDA BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928312307",
            "telephone_number": "714-986-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN, GHORBANIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "GHORBANIAN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "949-450-0076",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aava Dental of Fullerton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.