Manuel Antonio Deleon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30997 Issued in CA

Practice address

7963 Van Nuys Blvd Ste 103
Panorama City, CA 91402-6071

Phone

(818) 895-1458

Fax

(818) 780-1538

NPI assigned

Oct 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A Zarbakhsh Dental Corporation

  • Dentist
  • Panorama City, CA
  • NPI 1609452747
  NPD (past)

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1023205143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7963 VAN NUYS BLVD STE 103",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914026071",
            "telephone_number": "818-895-1458",
            "fax_number": "818-780-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7963 VAN NUYS BLVD STE 103",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914026071",
            "telephone_number": "818-895-1458",
            "fax_number": "818-780-1538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7963 Van Nuys Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Panorama City",
            "state": "CA",
            "postal_code": "914026071",
            "country_code": "US",
            "telephone_number": "818-895-1458",
            "fax_number": "818-780-1538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELEON",
        "first_name": "MANUEL",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN12447",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "30997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Sophia Defelice Jarrett, DPT
• Alexander Erick Deiongh, DO
• Sandra W. Deirmenjian, DDS
• Nelia Florin Del Barrio, REGISTERED NURSE
• Tirso Del Junco Jr., MD
• Rayan Demikhovskiy, FNP-BC
• Dental Center of San Miguel
• Dental Office of Harouni and Elgrichi
• Dental Wonderland
• Dentalville

• Dentist in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.