Organization Active NPI

Ya Guindy Dental Corporation

  • Dental Clinic/Center
  • Northridge, CA
National Provider Identifier
1922464296
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12556 Issued in CA
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

Updated by the provider on Mar 11, 2016

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.NPI 1407127749
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210317002456 CA Part B Supplier - Clinic/Group Practice 7012323009 Receives reassigned benefits from 2 practitioners
Practice locations: Northridge, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.