Organization Active NPI

Virginia Castelo DMD.a Dental Corporation

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1043528607
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
40554 Issued in CA
Legal business name
VIRGINIA CASTELO DMD.A DENTAL CORPORATION
Practice address
1321 N Vermont Ave Ste 4
Los Angeles, CA 90027-6307
Phone
(323) 666-3852
NPI assigned
Sep 16, 2010
Last updated
Sep 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Dr. Virignia C Castelo, DMD
Title
President
Phone
(323) 666-3852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 40554 CA Primary

Addresses

Primary practice location

1321 N Vermont Ave Ste 4
Los Angeles, CA 90027-6307

Mailing address

1321 N Vermont Ave Ste 4
Los Angeles, CA 90027-6307
Phone (323) 666-3852

Other identifiers 1

IdentifierTypeStateIssuer
G 93846MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1043528607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N VERMONT AVE STE 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276307",
            "telephone_number": "323-666-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N VERMONT AVE STE 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276307",
            "telephone_number": "323-666-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA CASTELO DMD.A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "CASTELO",
        "authorized_official_first_name": "VIRIGNIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-666-3852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "40554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G 93846",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.