Ava Manoochehri, DDS - Medicare Dentist in Santa Rosa, CA

Ava Manoochehri, DDS is a medicare enrolled "Dentist - General Practice" provider in Santa Rosa, California. Her current practice location is 370 Coddingtown Ctr, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 867-1310.

Ava Manoochehri is licensed to practice in California (license number 109221) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548033905.

Contact Information

Ava Manoochehri, DDS
370 Coddingtown Ctr,
Santa Rosa, CA 95401-3507
(707) 867-1310
Not Available



Healthcare Provider's Profile

Full NameAva Manoochehri
GenderFemale
SpecialityDentist - General Practice
Location370 Coddingtown Ctr, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548033905
  • Provider Enumeration Date: 11/06/2023
  • Last Update Date: 11/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5496108151
  • Enrollment ID: I20240129004326

Medical Identifiers

Medical identifiers for Ava Manoochehri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548033905NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 109221 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ava Manoochehri is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ava Manoochehri, DDS
12 Wild Rose Pl,
Aliso Viejo, CA 92656-7058

Ph: (949) 338-6015
Ava Manoochehri, DDS
370 Coddingtown Ctr,
Santa Rosa, CA 95401-3507

Ph: (707) 867-1310

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› Verified 4 days ago


Dentist in Santa Rosa, CA

Mrs. Edita Vasiliauskas, DDS
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Phone: 707-579-2808    
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Phone: 707-575-4450    Fax: 415-789-1252
Paul James Steigerwald, D.D.S.
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Medicare: Not Enrolled in Medicare
Practice Location: 868 2nd St, Santa Rosa, CA 95404
Phone: 707-525-1228    Fax: 707-525-1137
Dr. Ranolph Duane Rush, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 3536 Mendocino Ave, Suite #330, Santa Rosa, CA 95403
Phone: 707-545-4104    Fax: 707-545-9668
Dr. Christopher Chhoum Chow, DDS, MD
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Medicare: Not Enrolled in Medicare
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Phone: 707-566-7300    Fax: 707-566-7400
Dr. Brian William Payne, D.D.S.
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Medicare: Not Enrolled in Medicare
Practice Location: 36 Doctors Park Dr, Santa Rosa, CA 95405
Phone: 707-546-5234    Fax: 707-546-3928
Dr. Hiko Ruo, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 95 Montgomery Dr, Suite 212, Santa Rosa, CA 95404
Phone: 707-528-3412    Fax: 707-528-1058

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