LARISSA GUSHANSKY, DDS INC. NPI 1003000928

Dentist in Pomona, CA

About LARISSA GUSHANSKY, DDS INC.

Larissa Gushansky, Dds Inc. is a provider in Pomona, CA. The NPI number assigned to this provider is 1003000928. The practitioner's primary taxonomy code is Dentist (122300000X). The provider is registered as an organization and their NPI record was last updated 11 years ago. Larissa Gushansky, Dds Inc. operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI	1003000928 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	LARISSA GUSHANSKY, DDS INC.
Provider Location Address	887 E 2ND ST SUITE B POMONA, CA 91766 Provider location address The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address	887 E 2ND ST SUITE B POMONA, CA 91766 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity Type	Organization Entity type code The code describing the type of health care provider that is being assigned an NPI. Codes are: 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?	N/A
Is Organization Subpart?	No What is a subpart? Subparts are the components and separate physical locations of organization health care providers. Examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date	09-04-2007 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	09-04-2007 Last update date The date that a record was last updated or changed.

Business Address

LARISSA GUSHANSKY, DDS INC.
887 E 2ND ST
SUITE B
POMONA, CA
ZIP 91766
Phone: (909) 865-8595
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Mailing Address

LARISSA GUSHANSKY, DDS INC.
887 E 2ND ST
SUITE B
POMONA, CA
ZIP 91766
Phone: (909) 865-8595

Primary Taxonomy

Taxonomy Code	122300000X Primary Taxonomy Code The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Classification	Dentist
Type	Dental Providers
License No.	36156
License State	CA
Taxonomy Description	A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Authorized Official

Authorized Official Name	DR. LARISSA GUSHANSKY Authorized official name The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official Title	PRESIDENT
Authorized Official Phone	(323) 563-9124

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State
B36156-02	OTHER (01)	CA

Map Location

LARISSA GUSHANSKY, DDS INC. address is 887 E 2ND ST SUITE B POMONA, CA 91766

Other Providers at the same location

The following 5 providers are registered at the same or nearby location.

NPI	Name / Type	Taxonomy	Address
1073594131	DR. SUSAN MACKINTOSH D.O. Individual	Family Medicine	887 E 2ND ST SUITE C POMONA, CA 91766 (909) 865-2565
1336166180	MEHUL SHAILESH SONAWALA M.D. Individual	Internal Medicine	887 E 2ND ST POMONA, CA 91766 (909) 620-7769
1760860894	JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CA Organization	Non-Pharmacy Dispensing Site	887 E 2ND ST POMONA, CA 91766 (909) 620-7769
1982750287	DR. ASHEESH PASI MD Individual	Family Medicine	887 E 2ND ST POMONA, CA 91766 (909) 467-0797
1992185847	MRS. NANCY ANN RAMIREZ NP-C Individual	Nurse Practitioner (Family)	887 E 2ND ST POMONA, CA 91766 (888) 562-5442