Individual provider Active NPI

Emalyn Bernabe Sanga-Forbes, DDS

  • General Practice Dentistry
  • Van Nuys, CA
National Provider Identifier
1134253255
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44536 Issued in CA
Practice address
14649 Victory Blvd Ste 21
Van Nuys, CA 91411-4187
Phone
(818) 779-2120
Fax
(818) 779-2138
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 44536 CA Primary

Addresses

Primary practice location

14649 Victory Blvd Ste 21
Van Nuys, CA 91411-4187

Mailing address

14649 Victory Blvd Ste 21
Van Nuys, CA 91411-4187
Phone (818) 779-2120

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

LicenseStateTypeSpecialty
44536CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Emalyn Sanga-Forbes, D.D.S., Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1134253255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14649 VICTORY BLVD STE 21",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114187",
            "telephone_number": "818-779-2120",
            "fax_number": "818-779-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14649 VICTORY BLVD STE 21",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114187",
            "telephone_number": "818-779-2120",
            "fax_number": "818-779-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGA-FORBES",
        "first_name": "EMALYN",
        "middle_name": "BERNABE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.