Shamala Leanne Pizza, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

45956 Issued in CA

Practice address

4027 Mission Oaks Blvd
Camarillo, CA 93012

Phone

(805) 484-1022

Fax

(805) 484-3221

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sprague, Packham & Pizza Dental Corporation

  • General Practice Dentistry
  • Camarillo, CA
  • NPI 1225168156
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1205987765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4027 MISSION OAKS BLVD.",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "93012",
            "telephone_number": "805-484-1022",
            "fax_number": "805-484-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 MISSION OAKS BLVD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "93012",
            "telephone_number": "805-484-1022",
            "fax_number": "805-484-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZA",
        "first_name": "SHAMALA",
        "middle_name": "LEANNE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "45956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Hermine Piper
• Payam Piroozmehr
• Lovia Kesha Pitts I
• Tracy Pizano
• Matthew H Pizza, DMD
• Theresa Ann Plante, ED.D.
• Georgina Plascencia
• Pleasant Valley Pediatric Medical Group
• Pleasant Valley Pediatric Medical Group
• Pleasant Valley School District

• Orthodontics and Dentofacial Orthopedics Dentistry in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.