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Grigory Rozenvich D.D.S., Inc.

Exclusive Provider Organization in Santa Ana, CA · enumerated 2007 · authorized official Grigory Rozenovich, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912196171

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Registry record

Entity type Organization (Type 2)
Legal business name Grigory Rozenvich D.D.S., Inc.
Practice address 3620 S. Bristol St., Suite 210, Santa Ana, CA, 92704
Fax (714) 549-2118
Enumeration date Oct 23, 2007
Last updated in NPPES May 6, 2015

Taxonomy & classification

302F00000X Exclusive Provider Organization Managed Care Organizations · License 40115 (CA) Primary

Authorized official

Name Grigory Rozenovich
Title President

Other identifiers

Identifier Type State Issuer
973695 Other PA UNITED CONCORDIA
7120 Other CA PACIFICARE
B40115 01 Other CA STATE OF CA. DENTI-CAL

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Grigory Rozenvich D.D.S., Inc.?
NPPES lists Grigory Rozenovich (President) as the authorized official for this organization.
What is the NPI number for Grigory Rozenvich D.D.S., Inc.?
The NPI for Grigory Rozenvich D.D.S., Inc. is 1912196171, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-05-06.