Ganji DDS Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58334 Issued in CA

Legal business name

GANJI DDS DENTAL CORPORATION

Doing business as

Washington Dental Group

Practice address

1834 Pacific Coast Hwy
Lomita, CA 90717-2722

Phone

(310) 326-5183

Fax

(310) 326-2849

NPI assigned

Jun 29, 2011

Last updated

Nov 28, 2012By 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

David Ganji, DMDNPI 1033346077

Title

Part Owner

Phone

(310) 326-5183

Specialties & licenses 1

Addresses

Other names 1

• Washington Dental Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• David Sasha Ganji, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Lomita, CA
  • NPI 1033346077
  Medicare reassignment Authorized official
• Sam Joshua Ganji, DDS

  • Dentist
  • Hawthorne, CA
  • NPI 1629205661
  NPD

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1871880724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 PACIFIC COAST HWY",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172722",
            "telephone_number": "310-326-5183",
            "fax_number": "310-326-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 PACIFIC COAST HWY",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172722",
            "telephone_number": "310-326-5183",
            "fax_number": "310-326-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANJI DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "GANJI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "310-326-5183",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonia Flores, M.S.W.
• FM Woundcare Inc
• Audrey Fung
• Sheryl A Furuichi, PT
• Gandse Home Health Care Inc.
• David Sasha Ganji, DMD
• Roneilio San Diego Garcia
• Garfield Beach CVS LLC (CVS Pharmacy #09543)
• Garfield Beach CVS LLC (CVS Pharmacy #17891)
• Carla Gentile

• General Practice Dentistry in Lomita, CA
• Providers in Lomita, 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 Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.