Active NPI
Victoria Bethina Andrada, DDS
- Dentist
- San Jose, CA
National Provider Identifier
1033328398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40881
- Practice address
- 2542 Berryessa Road
San Jose, CA 95132 - Phone
- (408) 926-8600
- NPI assigned
- May 22, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 40881 | CA | Primary |
Addresses
Primary practice location
2542 Berryessa Road
San Jose, CA 95132
Mailing address
2542 Berryessa Road
San Jose, CA 95132
Phone (408) 926-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6514 | Other | CA | PACIFIC UNION DENTAL |
Other names 1
- Dr. Victoria Bethina Sazon Andrada
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 |
|---|---|---|---|
| 40881 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033328398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2542 BERRYESSA ROAD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95132",
"telephone_number": "408-926-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2542 BERRYESSA ROAD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95132",
"telephone_number": "408-926-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRADA",
"first_name": "VICTORIA",
"middle_name": "BETHINA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "40881",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFIC UNION DENTAL",
"identifier": "6514",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VICTORIA",
"last_name": "SAZON ANDRADA",
"middle_name": "BETHINA",
"prefix": "DR.",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.