Jacob Theodore Agatstein, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

63444 Issued in CA

Practice address

1000 W Carson St
Torrance, CA 90502-2004

Phone

(310) 668-4202

NPI assigned

Jun 24, 2010

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• I Zak DDS Prof Dental Corp

  • Dentist
  • Downey, CA
  • NPI 1588901979

  Oral and Maxillofacial Surgery

  Medicare reassignment NPD
• I Zak DDS Prof Dental Corp

  • Dentist
  • Temecula, CA
  • NPI 1386163483
  NPD
• I Zak DDS Prof Dental Corp

  • Dentist
  • San Diego, CA
  • NPI 1831742303

  Oral and Maxillofacial Surgery

  NPD
• I Zak DDS Prof Dental Corp

  • Dentist
  • Simi Valley, CA
  • NPI 1174263974

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1932410842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022004",
            "telephone_number": "310-668-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGATSTEIN",
        "first_name": "JACOB",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "63444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Afuso-Sugano
• Arpine Agakhanyan
• Agape Hospice & Palliative Care, LLC
• Kunal Agarwal, B.A.
• Nidhi Agarwal, MD
• Shokofeh Aghassibake, D.D.S.
• Arash Aghel, M.D
• Abraham Agiba, PMHNP
• Grace Agnes, OTD, OTR/L
• Sushila J Agrawal, MD

• Oral and Maxillofacial Surgery (Dentist) in Torrance, CA
• Providers in Torrance, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.