Organization Active NPI

Virginia Castelo DMD a Dental Corporation

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1306223862
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40554 Issued in CA
Legal business name
VIRGINIA CASTELO DMD A DENTAL CORPORATION
Practice address
1321 N Vermont Ave
Suite #4
Los Angeles, CA 90027-6307
Phone
(323) 666-3852
Fax
(323) 666-1681
NPI assigned
May 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Dr. Virginia Chan Castelo, DMD
Title
Dr
Phone
(323) 666-3852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 40554 CA Primary

Addresses

Primary practice location

1321 N Vermont Ave
Suite #4
Los Angeles, CA 90027-6307

Mailing address

1321 N Vermont Ave
Suite #4
Los Angeles, CA 90027-6307
Phone (323) 666-3852

National Provider Directory

National Provider Directory

Locations

1321 N Vermont Ave
Ste 4
Los Angeles, CA 90027
Phone (323) 661-0559

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1306223862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N VERMONT AVE",
            "address_2": "SUITE #4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276307",
            "telephone_number": "323-666-3852",
            "fax_number": "323-666-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N VERMONT AVE",
            "address_2": "SUITE #4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276307",
            "telephone_number": "323-666-3852",
            "fax_number": "323-666-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA CASTELO DMD A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "CASTELO",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "CHAN",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "323-666-3852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.