Calabasas Center for Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

54286 Issued in CA

Legal business name

CALABASAS CENTER FOR ORAL SURGERY

Practice address

24013 Ventura Blvd
Suite 100
Calabasas, CA 91302-1447

Phone

(818) 225-2211

Fax

(818) 225-7478

NPI assigned

Mar 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Alexei I Mizin, DMD

Title

President

Phone

(818) 225-2211

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Dimitri Verny, D.D.S

  • Dentist
  • Hawthorne, CA
  • NPI 1336125913
  NPD (past)

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1053552562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24013 VENTURA BLVD",
            "address_2": "SUITE 100",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021447",
            "telephone_number": "818-225-2211",
            "fax_number": "818-225-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24013 VENTURA BLVD",
            "address_2": "SUITE 100",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021447",
            "telephone_number": "818-225-2211",
            "fax_number": "818-225-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALABASAS CENTER FOR ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "MIZIN",
        "authorized_official_first_name": "ALEXEI",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-225-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "54286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Byam, MA
• Candace Caballero
• Steve Cagan, LMFT
• Calabasas Anesthesia Associates
• Calabasas ASC
• Calabasas Medical Center Inc
• Calabasas Medical Spa
• Calabasas Pediatrics
• Calabasas Surgery Center LLC
• Calabasas TMS Center, Inc.

• Oral and Maxillofacial Surgery (Dentist) in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.