Active NPI
William Rosales, RDA
- Dental Assistant
- Van Nuys, CA
National Provider Identifier
1023254885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 61378
- Practice address
- 13716 Sherman Way
Van Nuys, CA 91405-2626 - Phone
- (818) 988-2020
- Fax
- (818) 988-2004
- NPI assigned
- Dec 29, 2008
- Last updated
- Dec 29, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 61378 | CA | Primary |
Addresses
Primary practice location
13716 Sherman Way
Van Nuys, CA 91405-2626
Mailing address
321 E Fairview Ave
Apto #104
Glendale, CA 91207-1968
Phone (818) 546-2663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61378 | CA | MD | Dental Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| F.Manavi Dental Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba West Coast Dental Group of Van Nuys
- General Practice Dentistry
- Van Nuys, CA
- NPI 1710101365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230508800000",
"number": "1023254885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 E FAIRVIEW AVE",
"address_2": "APTO #104",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912071968",
"telephone_number": "818-546-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13716 SHERMAN WAY",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914052626",
"telephone_number": "818-988-2020",
"fax_number": "818-988-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSALES",
"first_name": "WILLIAM",
"credential": "RDA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-29",
"last_updated": "2008-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "61378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.