Gilda Vafa Tavoussi, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

44101 Issued in CA

Practice address

9209 Colima Rd Ste 2300
Whittier, CA 90605-1817

Phone

(714) 596-2660

NPI assigned

May 3, 2022

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1912642901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MONARCH BAY DR",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293438",
            "telephone_number": "714-608-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 COLIMA RD STE 2300",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051817",
            "telephone_number": "714-596-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVOUSSI",
        "first_name": "GILDA",
        "middle_name": "VAFA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Michael Tannyhill, D.D.S.
• Tantra Djaya D.D.S Inc.
• Anita Chih-I Tao, D.D.S.
• Aida Brenda Tapia, NP
• Kristina Tien Tau, LMFT
• Mohsen Tavoussi, D.O.
• Tdesl LLC (Happier at Home)
• Pamela S. Teeter
• Laura Tellinghuisen
• Itzayana Tello Gallegos

• Dentist in Whittier, CA
• Providers in Whittier, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.