NPIMap

Organization Active NPI

G.R. Tashiro DDS, Inc

  • Dentist
  • Canoga Park, CA
National Provider Identifier
1790925535
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23388 Issued in CA
Legal business name
G.R. TASHIRO DDS, INC
Practice address
21001 Covello St
Canoga Park, CA 91303-1403
Phone
(562) 644-9007
Fax
(323) 443-3904
NPI assigned
Mar 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
George Robert Tashiro, D.D.S.
Title
Owner
Phone
(562) 644-9007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 23388 CA Primary

Addresses

Primary practice location

21001 Covello St
Canoga Park, CA 91303-1403

Mailing address

21001 Covello St
Canoga Park, CA 91303-1403
Phone (562) 644-9007

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1790925535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21001 COVELLO ST",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031403",
            "telephone_number": "562-644-9007",
            "fax_number": "323-443-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21001 COVELLO ST",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031403",
            "telephone_number": "562-644-9007",
            "fax_number": "323-443-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.R. TASHIRO DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "TASHIRO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-644-9007",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "23388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.