Eugene Alexander Goncharov, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40823 Issued in CA

Practice address

8950 W Olympic Blvd Ste 262
Beverly Hills, CA 90211-3565

Phone

(310) 918-9751

NPI assigned

Sep 18, 2018

Last updated

Sep 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1538643390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 W OLYMPIC BLVD STE 262",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113565",
            "telephone_number": "310-918-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 W OLYMPIC BLVD STE 262",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113565",
            "telephone_number": "310-918-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONCHAROV",
        "first_name": "EUGENE",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Golpanian
• Ali Golshan, M.D.
• Shapour Daniel Golshani, M.D.
• Sofia Gomez Botero
• Omar Noe Gomez Estrada, PHARMD
• Carlos Joaquin Gonzalez Quesada, MD, MPH, FACC, FSCAI
• Eric John Gonzalez, PA-C
• Shirley Ann Gooch, R.N., PH.D.
• Good Haven Home Health Inc
• Good Home Health

• General Practice Dentistry in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.