Organization Active NPI

Nick C. Luizzi, DDS, a Professional Corportion

  • Dental Clinic/Center
  • Santa Paula, CA
National Provider Identifier
1083823173
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
24824 Issued in CA
Legal business name
NICK C. LUIZZI, DDS, A PROFESSIONAL CORPORTION
Practice address
803 Yale St
Santa Paula, CA 93060-2722
Phone
(805) 525-5505
Fax
(805) 525-9515
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nick C Luizzi, DDSNPI 1841308350
Title
President
Phone
(805) 525-5505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 24824 CA Primary

Addresses

Primary practice location

803 Yale St
Santa Paula, CA 93060-2722

Mailing address

803 Yale St
Santa Paula, CA 93060-2722
Phone (805) 525-5505

National Provider Directory

National Provider Directory

Locations

803 Yale St
Santa Paula, CA 93060
Phone (805) 525-5505

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083823173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 YALE ST",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602722",
            "telephone_number": "805-525-5505",
            "fax_number": "805-525-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 YALE ST",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602722",
            "telephone_number": "805-525-5505",
            "fax_number": "805-525-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK C. LUIZZI, DDS, A PROFESSIONAL CORPORTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUIZZI",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-525-5505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "24824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Paula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.