Larissa Gushansky DDS, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

36156 Issued in CA

Legal business name

LARISSA GUSHANSKY DDS, INC.

Practice address

3175 Firestone Blvd
Suite200
South Gate, CA 90280-2951

Phone

(323) 563-9124

Fax

(323) 563-9814

NPI assigned

Aug 29, 2007

Last updated

Aug 29, 2007By 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. Larissa Gushansky, D.D.S.NPI 1548478399

Title

President

Phone

(323) 563-9124

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Larissa Gushansky, DDS

  • Dentist
  • South Gate, CA
  • NPI 1548478399
  NPD (past) Authorized official

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1831383140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 FIRESTONE BLVD",
            "address_2": "SUITE200",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802951",
            "telephone_number": "323-563-9124",
            "fax_number": "323-563-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 FIRESTONE BLVD",
            "address_2": "SUITE200",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802951",
            "telephone_number": "323-563-9124",
            "fax_number": "323-563-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARISSA GUSHANSKY DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "GUSHANSKY",
        "authorized_official_first_name": "LARISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-563-9124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "36156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B36156-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jovanna Laborin
• Rudy Joe Lafargo Jr.
• Jesus Guadalupe Landeros
• Nancy Mirella Langarica Perera
• Angel Langlois
• Larissa Gushansky, DDS Inc.
• Lauren M. Soohoo Optometric Corp.
• Hoan Le, DO
• Jeffrey Le, P.T.A.
• Cruz Gregory Leanos, DDS

• Dentist in South Gate, CA
• Providers in South Gate, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.