Organization Active NPI

Tamara Vwich DDS Inc

  • Dentist
  • Palmdale, CA
National Provider Identifier
1245750751
Registry record updated Jun 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TAMARA VWICH DDS INC
Practice address
3011 Rancho Vista Blvd.
Suite I
Palmdale, CA 93551
Phone
(661) 266-9785
NPI assigned
Jun 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2017

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

Authorized official

Name
Tamara Bajj Vwich, DDSNPI 1548324775
Title
Dentist/Owner
Phone
(661) 266-9785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3011 Rancho Vista Blvd.
Suite I
Palmdale, CA 93551

Mailing address

3011 Rancho Vista Blvd St I
Palmdale, CA 93551
Phone (661) 266-9785

National Provider Directory

National Provider Directory

Locations

3011 Rancho Vista Blvd
Ste I
Palmdale, CA 93551
Phone (661) 266-9785

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1245750751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 RANCHO VISTA BLVD ST I",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-266-9785",
            "fax_number": "661-267-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 RANCHO VISTA BLVD.",
            "address_2": "SUITE I",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-266-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARA VWICH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "VWICH",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "BAJJ",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "661-266-9785",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.