Individual provider Active NPI

Claudia I Posso, D.D.S.

  • Dentist
  • Simi Valley, CA
National Provider Identifier
1215185467
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57624 Issued in CA
Practice address
1609 E Jefferson Way
Apt 108
Simi Valley, CA 93065-0262
Phone
(805) 791-3484
NPI assigned
Aug 29, 2008
Last updated
Aug 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 57624 CA Primary

Addresses

Primary practice location

1609 E Jefferson Way
Apt 108
Simi Valley, CA 93065-0262

Mailing address

1609 E Jefferson Way
Apt 108
Simi Valley, CA 93065-0262
Phone (805) 791-3484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160620001629 CA Order and Referring Only - DentistPractitioner - Dentist 4981995131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1215185467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 E JEFFERSON WAY",
            "address_2": "APT 108",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930650262",
            "telephone_number": "805-791-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 E JEFFERSON WAY",
            "address_2": "APT 108",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930650262",
            "telephone_number": "805-791-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSSO",
        "first_name": "CLAUDIA",
        "middle_name": "I",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.