Individual provider Active NPI

Victor A Barcellona, DDS

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1154403137
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42032 Issued in CA
Practice address
450 Sutter St RM 1220
San Francisco, CA 94108-4001
Phone
(415) 982-2250
Fax
(415) 986-4006
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 42032 CA Primary

Addresses

Primary practice location

450 Sutter St RM 1220
San Francisco, CA 94108-4001

Mailing address

450 Sutter St RM 1220
San Francisco, CA 94108-4001
Phone (415) 982-2250

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
42032CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stefka Petrova DDS, a Professional Dental Organization 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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154403137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 1220",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084001",
            "telephone_number": "415-982-2250",
            "fax_number": "415-986-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 1220",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084001",
            "telephone_number": "415-982-2250",
            "fax_number": "415-986-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCELLONA",
        "first_name": "VICTOR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.