Avicennas Group Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AVICENNAS GROUP INC

Doing business as

Zentist

Practice address

814 Mission St FL 6
San Francisco, CA 94103-3018

Phone

(415) 323-4937

Fax

(415) 358-8640

NPI assigned

Oct 15, 2018

Organization subpart

No

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

Authorized official

Name

Yang Song

Title

Administrator

Phone

(415) 323-4937

Specialties & licenses 1

Addresses

Other names 1

• Zentist Doing business as

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1881160018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 MISSION ST FL 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033018",
            "telephone_number": "415-323-4937",
            "fax_number": "415-358-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 MISSION ST FL 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033018",
            "telephone_number": "415-323-4937",
            "fax_number": "415-358-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVICENNAS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "YANG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "415-323-4937"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lanice Renne Avery I
• Natasha Genet Avery
• Oboesi Vanessa Avery, O.D.
• Diana L Aveson, LMFT
• Jeremie Aviado
• Loreto Makarena Jasmin Avila Leiva
• Silvia Avila-Garcia
• Benjamin Avila-Lozano
• Alberto Avila
• Janet Avila

• Dentist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.