Organization Active NPI

Oscar E Valenzuela DDS and Philip R Melnick DMD, Inc.

  • Periodontics
  • Cerritos, CA
National Provider Identifier
1104042100
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
27392 Issued in CA
Legal business name
OSCAR E VALENZUELA DDS AND PHILIP R MELNICK DMD, INC.
Practice address
18000 Studebaker Rd
Suite 365
Cerritos, CA 90703-2679
Phone
(562) 860-1611
Fax
(562) 865-2245
NPI assigned
Apr 18, 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. Oscar E Valenzuela, DDS
Title
President
Phone
(562) 860-1611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 27392 CA Primary

Addresses

Primary practice location

18000 Studebaker Rd
Suite 365
Cerritos, CA 90703-2679

Mailing address

18000 Studebaker Road
Suite 365
Cerritos, CA 90703-2690
Phone (562) 860-1611

National Provider Directory

National Provider Directory

Locations

18000 Studebaker Rd
Ste 365
Cerritos, CA 90703
Phone (562) 202-5741

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104042100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 STUDEBAKER ROAD",
            "address_2": "SUITE 365",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032690",
            "telephone_number": "562-860-1611",
            "fax_number": "562-865-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 STUDEBAKER RD",
            "address_2": "SUITE 365",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032679",
            "telephone_number": "562-860-1611",
            "fax_number": "562-865-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCAR E VALENZUELA DDS AND PHILIP R MELNICK DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-860-1611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 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.