Stephen Giovanisci, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

035399 Issued in CA

Practice address

2103 Montrose Ave
Suite a
Montrose, CA 91020-1546

Phone

(818) 248-1718

Fax

(818) 248-1703

NPI assigned

Feb 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• VP Meserkhani DDS Inc

  • Oral and Maxillofacial Surgery Clinic/Center
  • Montrose, CA
  • NPI 1134809635
  NPD (past)

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770619959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 MONTROSE AVE",
            "address_2": "SUITE A",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201546",
            "telephone_number": "818-248-1718",
            "fax_number": "818-248-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 MONTROSE AVE",
            "address_2": "SUITE A",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201546",
            "telephone_number": "818-248-1718",
            "fax_number": "818-248-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVANISCI",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "035399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gardenia Home Health Care Inc.
• Garfield Beach CVS LLC (CVS Pharmacy #09647)
• Annie Gharakhani, PSYD
• Mania Gharibian
• Arbi Ghazarian, M.D.
• Giragosian Wellness Center
• Jamie Given
• GMT Hospice Care Inc
• Godbless Hospice Care, Inc. (Dahlia Palliative and Hospice Care)
• Kasia Gondek, PT, DPT, CSCS

• General Practice Dentistry in Montrose, CA
• Providers in Montrose, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.