Trent Westernoff DMD MD Inc & Martin Mardirosian DDS MD Apc General PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

TRENT WESTERNOFF DMD MD INC & MARTIN MARDIROSIAN DDS MD APC GENERAL PA

Doing business as

Oral Surgery Partners

Practice address

1706 S Elena Ave Ste a
Redondo Beach, CA 90277-5715

Phone

(310) 375-0514

Fax

(310) 375-8625

NPI assigned

Oct 11, 2021

Last updated

Oct 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martin H Mardirosian, DDS, MDNPI 1043566284

Title

Partner

Phone

(310) 375-0514

Specialties & licenses 1

Addresses

Other names 1

• Oral Surgery Partners Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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.

• Martin H Mardirosian, D.D.S, M.S.

  • General Practice Dentistry
  • Woodland Hills, CA
  • NPI 1043566284
  NPD Authorized official
• Joshua Wohlgemuth, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Redondo Beach, CA
  • NPI 1174978720
  NPD
• Barry Johnsin, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Redondo Beach, CA
  • NPI 1841210036
  NPD (past)

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1376205047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 S ELENA AVE STE A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775715",
            "telephone_number": "310-375-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 S ELENA AVE STE A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775715",
            "telephone_number": "310-375-0514",
            "fax_number": "310-375-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRENT WESTERNOFF DMD MD INC & MARTIN MARDIROSIAN DDS MD APC GENERAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "MARDIROSIAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-375-0514",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral Surgery Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Train Recover Inspire Physical Therapy Inc. (T.R.I. Physical Therapy)
• Alan Anh Tuyen Tran
• Cuong Kim Tran
• Johnny Duy Tran, PHARMD, RPH
• Kelly Tram Tran, PA-C
• John H Trotter, DDS MS
• Patsie Lee Trowbridge, PSYCHOLOGIST
• Erin A Trujillo
• Jimmy Truong, M.D.
• Ronald Tsao, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.