Individual provider Active NPI

Lucretia Berozsky

  • Dentist
  • Los Gatos, CA
National Provider Identifier
1295473619
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS111457 Issued in CA
Practice address
15951 Los Gatos Blvd Ste 8
Los Gatos, CA 95032-3488
Phone
(408) 549-8733
NPI assigned
May 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS111457 CA Primary
Dentist 122300000X DN1859404 MA

Addresses

Primary practice location

15951 Los Gatos Blvd Ste 8
Los Gatos, CA 95032-3488

Mailing address

15951 Los Gatos Blvd Ste 8
Los Gatos, CA 95032-3488

Other practice location 1

61 Serra Way Ste 212
Milpitas, CA 95035-8519
Phone (408) 262-1181

Other practice location 2

6950 Santa Teresa Blvd Ste D
San Jose, CA 95119-1300
Phone (408) 478-2443

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS111457CAMDDentist
DN1859404MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nguyen and Ma Dental Corporation Dentist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1295473619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15951 LOS GATOS BLVD STE 8",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15951 LOS GATOS BLVD STE 8",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323488",
            "telephone_number": "408-549-8733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 Serra Way Ste 212",
            "address_purpose": "LOCATION",
            "city": "Milpitas",
            "state": "CA",
            "postal_code": "950358519",
            "country_code": "US",
            "telephone_number": "408-262-1181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6950 Santa Teresa Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951191300",
            "country_code": "US",
            "telephone_number": "408-478-2443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEROZSKY",
        "first_name": "LUCRETIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS111457",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.