The School-Aged Gap Elimination Initiative, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THE SCHOOL-AGED GAP ELIMINATION INITIATIVE, INC

Practice address

82900 Avenue 42 Ste B103
Indio, CA 92203-9657

Phone

(760) 578-4748

Fax

(760) 278-2172

NPI assigned

Jun 28, 2016

Last updated

Sep 3, 2019By 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

Dr. Javad Sage Aghaloo, D.D.S

Title

Chief Executive Officer

Phone

(760) 578-4748

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Hadi Youssef, DMD

  • General Practice Dentistry
  • Woodland, WA
  • NPI 1518569235
  NPD (past)

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1689025843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82900 AVENUE 42 STE B103",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922039657",
            "telephone_number": "760-578-4748",
            "fax_number": "760-278-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82900 AVENUE 42 STE B103",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922039657",
            "telephone_number": "760-578-4748",
            "fax_number": "760-278-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SCHOOL-AGED GAP ELIMINATION INITIATIVE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "AGHALOO",
        "authorized_official_first_name": "JAVAD",
        "authorized_official_middle_name": "SAGE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "760-578-4748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yesenia Teran, LMFT
• Andrii Terentyev, CMT, CST, MT
• Anastasiya Terentyeva, MS, LMT, CMT, HHPC
• Thanh Trang Thi Nguyen MD Inc
• The Awareness Program
• Danielle Thien
• Geri R Thompson, RN
• Tracy Ann Thompson, MS, APCC
• Shella R Thorson, PT
• Thrifty Payless Inc (Rite Aid Pharmacy 06532)

• Dental Clinic/Center in Indio, CA
• Providers in Indio, 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 Sep 3, 2019; 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.