Xinwu Zhao

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

109061 Issued in CA

Practice address

8660 Central Ave Ste a
Montclair, CA 91763-1692

Phone

(909) 920-0696

NPI assigned

Aug 8, 2023

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

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 and National Provider Directory roles.

• Paula Izvernari DDS Inc

  dba Montclair Plaza Dental Group

  • Dentist
  • Montclair, CA
  • NPI 1215821822
  NPD
• S. Dave Srikureja DDS, a Professional Corporation

  dba Montclair Plaza Dental Group

  • Dental Clinic/Center
  • Montclair, CA
  • NPI 1336734052
  NPD

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1619650520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W ANNANDALE LN",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917021432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 CENTRAL AVE STE A",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631692",
            "telephone_number": "909-920-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "XINWU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zarahemla, Inc
• Zarahemla, Inc.
• Sara Marie Zatarain
• Jazmin Zavala
• Stephanie Zavala
• Shanen Zhi, O.D.
• Zhou Advanced Healing Medical Corp
• Alexa Zuloaga

• General Practice Dentistry in Montclair, CA
• Providers in Montclair, 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 Aug 8, 2023; 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.