Active NPI
Julie Ann Valde Lopez, D.D.S.
- General Practice Dentistry
- Newbury Park, CA
National Provider Identifier
1164456117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 43191
- Practice address
- 2814 Camino Dos Rios
Suite #401
Newbury Park, CA 91320-1134 - Phone
- (805) 499-7676
- Fax
- (805) 375-8642
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 43191 | CA | Primary |
Addresses
Primary practice location
2814 Camino Dos Rios
Suite #401
Newbury Park, CA 91320-1134
Mailing address
2814 Camino Dos Rios
Suite #401
Newbury Park, CA 91320-1134
Phone (805) 499-7676
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
| License | State | Type | Specialty |
|---|---|---|---|
| 43191 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164456117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2814 CAMINO DOS RIOS",
"address_2": "SUITE #401",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "913201134",
"telephone_number": "805-499-7676",
"fax_number": "805-375-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2814 CAMINO DOS RIOS",
"address_2": "SUITE #401",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "913201134",
"telephone_number": "805-499-7676",
"fax_number": "805-375-8642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDE LOPEZ",
"first_name": "JULIE ANN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "43191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newbury Park, CA
- Bonni Tromello, CFNP
- Ian Tufts, D.P.T.
- Unicare Diagnostics LLC
- Unicare Diagnostics LLC
- Corinne Elizabeth Uyema, LVN
- Alma Valdovinos
- Fernando David Valladares, DPT
- Velvet Hearts Professional Home Care Agency LLC
- Ventura Spine Institute, a Medical Corporation
- Venturacounty Behavioral Health Alcohol and Drug Programs
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.