Individual provider Active NPI

Bryan Ryo Fujii, DDS

  • Dentist
  • Oxnard, CA
National Provider Identifier
1255421707
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
33698 Issued in CA
Practice address
1701 Solar Dr
Suite 270
Oxnard, CA 93030-0134
Phone
(805) 983-3552
Fax
(805) 983-4269
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 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 33698 CA Primary

Addresses

Primary practice location

1701 Solar Dr
Suite 270
Oxnard, CA 93030-0134

Mailing address

1701 Solar Dr
Suite 270
Oxnard, CA 93030-0134
Phone (805) 983-3552

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
I20241209001855 CA Order and Referring Only - DentistPractitioner - Dentist 3870029234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33698CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1255421707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SOLAR DR",
            "address_2": "SUITE 270",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300134",
            "telephone_number": "805-983-3552",
            "fax_number": "805-983-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOLAR DR",
            "address_2": "SUITE 270",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300134",
            "telephone_number": "805-983-3552",
            "fax_number": "805-983-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJII",
        "first_name": "BRYAN",
        "middle_name": "RYO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "33698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.