Heritage Oral Surgery and Implant Centers

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

HERITAGE ORAL SURGERY AND IMPLANT CENTERS

Practice address

27450 Tourney Rd Ste 160
Valencia, CA 91355-1863

Phone

(661) 253-3500

Fax

(661) 253-1700

NPI assigned

Oct 22, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Caramarie K Young

Title

Practice Administrator

Phone

(661) 253-3500

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brent J Ramsey, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Valencia, CA
  • NPI 1497014146
  NPD
• Chris Ibrahim, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Canoga Park, CA
  • NPI 1679927131
  NPD (past)
• Don Han Kim, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Roseville, CA
  • NPI 1093937179
  NPD (past)
• Payam Samouhi, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Canoga Park, CA
  • NPI 1467509687
  NPD (past)

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1205479391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27450 TOURNEY RD STE 160",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551863",
            "telephone_number": "661-253-3500",
            "fax_number": "661-253-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27450 TOURNEY RD STE 160",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551863",
            "telephone_number": "661-253-3500",
            "fax_number": "661-253-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "843 Auto Center Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935514489",
            "country_code": "US",
            "telephone_number": "661-538-1400",
            "fax_number": "661-538-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22142 Sherman Way # 201",
            "address_purpose": "LOCATION",
            "city": "Canoga Park",
            "state": "CA",
            "postal_code": "913031136",
            "country_code": "US",
            "telephone_number": "818-703-8200",
            "fax_number": "818-703-8296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HERITAGE ORAL SURGERY AND IMPLANT CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CARAMARIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "661-253-3500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Mayo Newhall Urgent Care Clinics, LLC
• David Alan Henry, M.D.
• Kira A Henzlik, PT
• Christine Hepp, RN
• Robert F Herbert, DC
• Andrea Hernandez Baltazar
• Cinthya Jarumi Hernandez Mendoza
• Valarie Belen Hernandez Mendoza
• Carmelo Hernandez
• Crystal Viviana Hernandez

• Oral and Maxillofacial Surgery (Dentist) in Valencia, CA
• Providers in Valencia, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.