Bruce Vafa, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

52126 Issued in CA

Practice address

4706 Sepulveda Blvd
#301
Sherman Oaks, CA 91403-2424

Phone

(818) 789-8396

Fax

(818) 936-0122

NPI assigned

Feb 14, 2007

Last updated

May 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bruce Vafa DDS Dental Corp

  • Dentist
  • Beverly Hills, CA
  • NPI 1689118192
  NPD (past) Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1265575948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4706 SEPULVEDA BLVD",
            "address_2": "#301",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032424",
            "telephone_number": "818-789-8396",
            "fax_number": "818-936-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4706 SEPULVEDA BLVD",
            "address_2": "#301",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032424",
            "telephone_number": "818-789-8396",
            "fax_number": "818-936-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAFA",
        "first_name": "BRUCE",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Angela Uytiepo
• V.M. Home Health Care, Inc. (Zenith Home Health)
• VA Home Health Care Inc
• Evelyn Vaca
• Sanjay V. Vadgama, M.D.
• Julia Vaillant
• Zohar Vaisman, PSYD
• Pouya Mostafa Vakilian, DMD, MD
• Brenda Valdez
• Omar A. Valdivia

• Dentist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.