Individual provider Active NPI

Jose Luis Osoria, DDS

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1205943271
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42389 Issued in CA
Practice address
1155 W Central Ave
Suite 201
Santa Ana, CA 92707-3153
Phone
(714) 546-6488
Fax
(714) 546-9488
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

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 42389 CA Primary

Addresses

Primary practice location

1155 W Central Ave
Suite 201
Santa Ana, CA 92707-3153

Mailing address

1155 W Central Ave
Suite 201
Santa Ana, CA 92707-3153
Phone (714) 546-6488

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jose Luis Osoria D.D.S. 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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205943271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 W CENTRAL AVE",
            "address_2": "SUITE 201",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073153",
            "telephone_number": "714-546-6488",
            "fax_number": "714-546-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 W CENTRAL AVE",
            "address_2": "SUITE 201",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073153",
            "telephone_number": "714-546-6488",
            "fax_number": "714-546-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSORIA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, 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.