Dr. Grisha Roland Ovanesian, dds
Dentist, General Practice in Cathedral City, CA. Individual provider (NPI-1).
NPI number1942536149
StatusActive
Last updated in NPPESOct 22, 2009
Details
- NPI
- 1942536149
- Entity type
- Individual (NPI-1)
- Name
- Dr. Grisha Roland Ovanesian
- Credential
- dds
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2009
- Last updated
- Oct 22, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 55235 | CA | Yes |
Practice location
68820 Ramon RdCathedral City, CA 92234-3337
Phone 760-770-0236 · Fax 760-770-9758
Mailing address
68820 Ramon RdCathedral City, CA 92234-3337
Phone 760-770-0236 · Fax 760-770-9758
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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