Active NPI
Oscar E Valenzuela, D.D.S.
- Periodontics
- Cerritos, CA
National Provider Identifier
1023356367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 27392
- Practice address
- 18000 Studebaker Rd
#665
Cerritos, CA 90703-2679 - Phone
- (562) 860-1611
- NPI assigned
- Jan 22, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 27392 | CA | Primary |
Addresses
Primary practice location
18000 Studebaker Rd
#665
Cerritos, CA 90703-2679
Mailing address
18000 Studebaker Rd
#665
Cerritos, CA 90703-2679
Phone (562) 860-1611
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1023356367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18000 STUDEBAKER RD",
"address_2": "#665",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032679",
"telephone_number": "562-860-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18000 STUDEBAKER RD",
"address_2": "#665",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032679",
"telephone_number": "562-860-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENZUELA",
"first_name": "OSCAR",
"middle_name": "E",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-22",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "27392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.