Branimir Vatavuk, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63732 Issued in CA

Practice address

655 Homer Ave
Palo Alto, CA 94301-2887

Phone

(650) 328-7333

NPI assigned

Sep 19, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1013319102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 WHISPERING WIND DRIVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "95377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 HOMER AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012887",
            "telephone_number": "650-328-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATAVUK",
        "first_name": "BRANIMIR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-19",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shreyas Shreenivas Vasanawala, MD
• Catherine Macy Vasco, LCSW
• Anita Vashi, MD
• Taylor Kelly Vasquez
• Diana Vastava, MD
• Elizabeth G Vaughan, P.A.
• Sarah Vaughen, MD
• Jamie C. Vavaroutsos, LCSW
• Carlos Vazquez
• Martin De la Torre Vazquez, MD

• General Practice Dentistry in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.