Alla Patish-Preobrazhenskaya

Primary specialty

DentistTaxonomy code 122300000X

License

DDS100665 Issued in CA

Practice address

815 College Blvd Ste 106
Oceanside, CA 92057-6261

Phone

(760) 306-4466

NPI assigned

Mar 10, 2016

Last updated

May 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alla Patish-Preobrazhenskaya Dental Professional Corporation

  • General Practice Dentistry
  • Oceanside, CA
  • NPI 1023857976
  NPD Authorized official
• Khooshab Patish-Preobrazhenskaya Dental Corporation

  dba We Care Dental

  • General Practice Dentistry
  • Oceanside, CA
  • NPI 1720642317
  NPD

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1407217912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 COLLEGE BLVD STE 106",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920576261",
            "telephone_number": "760-306-4466",
            "fax_number": "760-239-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 COLLEGE BLVD STE 106",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920576261",
            "telephone_number": "760-306-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATISH-PREOBRAZHENSKAYA",
        "first_name": "ALLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS100665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinjal Patel
• Kiran Roshan Patel, M.D.
• Parth Patel, DO
• Robert K. Patel, M.D.
• Sheila A Patel, M.D.
• Patricia Wansley Taylor, LMFT (Collaborative Psych)
• Patricia Wansley Taylor, LMFT (Counseling Cottage)
• Latoya Patterson
• Viktoria Telnova Patterson
• Paul John Dietsch (Oceanside Hearing Aid Center)

• Dentist in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.