Organization Active NPI

Khooshab Patish-Preobrazhenskaya Dental Corporation

Doing business as We Care Dental

  • General Practice Dentistry
  • Oceanside, CA
National Provider Identifier
1720642317
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KHOOSHAB PATISH-PREOBRAZHENSKAYA DENTAL CORPORATION
Doing business as
We Care Dental
Practice address
815 College Blvd Ste 106
Oceanside, CA 92057-6261
Phone
(760) 306-4466
Fax
(760) 239-0105
NPI assigned
Apr 29, 2019
Last updated
Sep 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Alla Patish-Probrazhenskaya, DMD
Title
Vice President
Phone
(424) 384-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

815 College Blvd Ste 106
Oceanside, CA 92057-6261

Mailing address

815 College Blvd Ste 106
Oceanside, CA 92057-6261
Phone (760) 306-4466

Other names 1

  • We Care Dental Doing business as

National Provider Directory

National Provider Directory

Locations

202 S Juniper St
Escondido, CA 92025
Phone (760) 747-3140

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1720642317",
    "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",
            "fax_number": "760-239-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHOOSHAB PATISH-PREOBRAZHENSKAYA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-29",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "PATISH-PROBRAZHENSKAYA",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "424-384-9444",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "We Care Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.