Active NPI
Ya Guindy Dental Corporation
- Dental Clinic/Center
- Northridge, CA
National Provider Identifier
1922464296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 12556
- Legal business name
- YA GUINDY DENTAL CORPORATION
- Practice address
- 18525 Roscoe Blvd
Northridge, CA 91324-4632 - Phone
- (818) 734-6696
- NPI assigned
- Jan 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Awny Essam Guindy, D.D.S.
- Title
- President
- Phone
- (818) 734-6696
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 12556 | CA | Primary |
Addresses
Primary practice location
18525 Roscoe Blvd
Northridge, CA 91324-4632
Mailing address
18525 Roscoe Blvd
Northridge, CA 91324-4632
Phone (818) 734-6696
Other names 1
- YA Family Dental Office of Dr. Guindy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210317002456 | CA | Part B Supplier - Clinic/Group Practice | 7012323009 |
Receives reassigned benefits from 2 practitioners Practice locations: Northridge, CA |
National Provider Directory
National Provider DirectoryLocations
18525 Roscoe Blvd
Northridge, CA 91324
Phone (818) 294-4490
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Northridge, CA
- NPI 1275535684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457654400000",
"number": "1922464296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18525 ROSCOE BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913244632",
"telephone_number": "818-734-6696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18525 ROSCOE BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913244632",
"telephone_number": "818-734-6696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YA GUINDY DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-02",
"last_updated": "2016-03-11",
"status": "A",
"authorized_official_last_name": "GUINDY",
"authorized_official_first_name": "AWNY",
"authorized_official_middle_name": "ESSAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-734-6696",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "12556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "YA Family Dental Office of Dr. Guindy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.