Antonio Maburtas Lazo, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

51955 Issued in CA

Practice address

9755 Alondra Blvd
Bellflower, CA 90706-3677

Phone

(562) 925-3842

NPI assigned

Dec 4, 2006

Sex

Male

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

Interoperability endpoints

• Direct secure messaging: alazo@direct.westerndental.com

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225196165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9928 KESWICK ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041022",
            "telephone_number": "818-768-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9755 ALONDRA BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907063677",
            "telephone_number": "562-925-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZO",
        "first_name": "ANTONIO",
        "middle_name": "MABURTAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "51955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimbley Lau, DO
• Laurene K. Duke DDS, a Professional Dental Corporation
• Lawrence Olumade
• Gary W Lawton, MFT
• Bernadette Uy Laxa, MD
• Chantal Le-Pham, MD
• Giao Quynh Le, PHARM.D.
• Jennifer Thanh Truc Le, OD
• Rosa Le, PHARM.D.
• Timothy Le, DDS

• Public Health Dentistry in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Public Health Dentistry in California

• 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.