Nancy Barraza

Individual provider Active NPI Dental Assistant · Van Nuys, CA

NPI 1235374604 · NPPES record last updated Dec 12, 2008

Key facts

NPI
1235374604
Entity type
Individual (NPI type 1)
Primary specialty
Dental Assistant 126800000X
Practice address
13716 Sherman Way
Van Nuys, CA 91405-2626
Phone
(818) 988-2020
Fax
(818) 988-2004
NPI assigned
Dec 12, 2008
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
F.Manavi Dental Corporation Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X Yes

Addresses

Primary practice location

13716 Sherman Way
Van Nuys, CA 91405-2626

Mailing address

13716 Sherman Way
Van Nuys, CA 91405-2626

Other providers in Van Nuys, CA

All providers in Van Nuys, CA · Dental Assistant in California

Sources for this page

Verify at the official NPI Registry.