F.R Edalatpajouh Dental Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

F.R EDALATPAJOUH DENTAL INC

Practice address

10470 Foothill Blvd Ste 126
Rancho Cucamonga, CA 91730-6945

Phone

(909) 989-7888

NPI assigned

Dec 16, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Edalatpajouh, DDS

Title

Cfo

Phone

(310) 529-7292

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Warisara Srimuang

  • Dental Hygienist
  • Rancho Cucamonga, CA
  • NPI 1063250827
  NPD
• Selina Chan, DDS

  • Endodontics
  • Rancho Cucamonga, CA
  • NPI 1225233687
  NPD (past)
• Albert Lee, DDS

  • General Practice Dentistry
  • Rancho Cucamonga, CA
  • NPI 1184029258
  NPD (past)

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1538976204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 FOOTHILL BLVD STE 126",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306945",
            "telephone_number": "909-989-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10470 FOOTHILL BLVD STE 126",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306945",
            "telephone_number": "909-989-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F.R EDALATPAJOUH DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "EDALATPAJOUH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "310-529-7292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Extra Hand in-Home Care, LLC
• Extra Hand in-Home Care, LLC
• Susan Eyman, RN
• Courtney Marie Eyre
• Tarek Ezzeddine, MD
• Faculty Physicians and Surgeons of Llusm
• Faculty Physicians and Surgeons of Llusm
• John Andrew Fagan, MD
• Diane Faher, MD
• Haven James Fair, B.A. PSYCHOLOGY

• Dental Clinic/Center in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Dec 16, 2024; 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.