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 |
| Provider Name | LARISSA GUSHANSKY, DDS INC. |
| Provider Location Address | 887 E 2ND ST SUITE B POMONA, CA 91766 |
| Provider Mailing Address | 887 E 2ND ST SUITE B POMONA, CA 91766 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 09-04-2007 |
| Last Update Date | 09-04-2007 |
Primary Taxonomy
| Taxonomy Code | 122300000X |
| 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. |
Business Address
LARISSA GUSHANSKY, DDS INC.
887 E 2ND ST
SUITE B
POMONA, CA
ZIP 91766
Phone: (909) 865-8595
Mailing Address
LARISSA GUSHANSKY, DDS INC.
887 E 2ND ST
SUITE B
POMONA, CA
ZIP 91766
Phone: (909) 865-8595
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 |
Other Providers at the same location
The following 4 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 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
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
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
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.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.