Active NPI
Sophia Rozov DDS, Inc
- General Practice Dentistry
- Tarzana, CA
National Provider Identifier
1184749392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 45820
- Legal business name
- SOPHIA ROZOV DDS, INC
- Practice address
- 19233 Ventura Blvd
Tarzana, CA 91356-3122 - Phone
- (818) 635-9141
- Fax
- (818) 705-7940
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sophia Rozov, DDS
- Title
- Ceo
- Phone
- (818) 705-7900
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 45820 | CA | Primary |
Addresses
Primary practice location
19233 Ventura Blvd
Tarzana, CA 91356-3122
Mailing address
5640 Etiwanda Ave
# 5
Tarzana, CA 91356-2700
Phone (818) 705-7900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02-45820 | Other | CA | DELTA DENTAL |
| G93356-02 | Other | CA | DENTI-CAL |
National Provider Directory
National Provider Directory- Tax ID family
- Smile Avenue Dental Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Pico Rivera, CA
- NPI 1346365657
Locations
19233 Ventura Blvd
Tarzana, CA 91356
Phone (310) 567-1122
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Tarzana, CA
- NPI 1376688663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184630400000",
"number": "1184749392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5640 ETIWANDA AVE",
"address_2": "# 5",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562700",
"telephone_number": "818-705-7900",
"fax_number": "818-705-7940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19233 VENTURA BLVD",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563122",
"telephone_number": "818-635-9141",
"fax_number": "818-705-7940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOPHIA ROZOV DDS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-17",
"status": "A",
"authorized_official_last_name": "ROZOV",
"authorized_official_first_name": "SOPHIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-705-7900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "45820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "02-45820",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL",
"identifier": "G93356-02",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.