Organization Active NPI

Sona Khinvasara, DDS, Inc.

  • Dental Clinic/Center
  • Campbell, CA
National Provider Identifier
1265748057
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
47135 Issued in CA
Legal business name
SONA KHINVASARA, DDS, INC.
Practice address
1580 Winchester Blvd
Suite 205
Campbell, CA 95008-0519
Phone
(408) 374-1973
Fax
(408) 370-1973
NPI assigned
Aug 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Dr. Sona Khinvasara, Inc., D.D.S.
Title
Ceo
Phone
(408) 374-1973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 47135 CA Primary

Addresses

Primary practice location

1580 Winchester Blvd
Suite 205
Campbell, CA 95008-0519

Mailing address

1580 Winchester Blvd
Suite 205
Campbell, CA 95008-0519
Phone (408) 374-1973

National Provider Directory

National Provider Directory

Locations

1580 S Winchester Blvd
Ste 205
Campbell, CA 95008
Phone (408) 374-1973

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": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1265748057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 WINCHESTER BLVD",
            "address_2": "SUITE 205",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080519",
            "telephone_number": "408-374-1973",
            "fax_number": "408-370-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 WINCHESTER BLVD",
            "address_2": "SUITE 205",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080519",
            "telephone_number": "408-374-1973",
            "fax_number": "408-370-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONA KHINVASARA, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "KHINVASARA, INC.",
        "authorized_official_first_name": "SONA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-374-1973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "47135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.