Active NPI
Vijaya KV Prabhu.DDS. a Proffessional Corp
Doing business as WestView Dental Office
- General Practice Dentistry
- San Diego, CA
National Provider Identifier
1316161961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38736
- Legal business name
- VIJAYA KV PRABHU.DDS. A PROFFESSIONAL CORP
- Doing business as
- WestView Dental Office
- Practice address
- 13350 Camino del Sur
Suite # 6
San Diego, CA 92129-4473 - Phone
- (858) 484-9977
- Fax
- (858) 484-9979
- NPI assigned
- Apr 13, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Prabhu KV Prabhu, DDS
- Title
- President
- Phone
- (858) 484-9977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 38736 | CA | Primary |
Addresses
Primary practice location
13350 Camino del Sur
Suite # 6
San Diego, CA 92129-4473
Mailing address
13350 Camino del Sur
Suite # 6
San Diego, CA 92129-4473
Phone (858) 484-9977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1223G0001X | Other | CA | DENTIST-GENERAL PRACITICE |
Other names 1
- WestView Dental Office
National Provider Directory
National Provider Directory- Tax ID family
- El Norte Family Dental
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba El Norte Family Dental
- General Practice Dentistry
- Escondido, CA
- NPI 1831312248
Locations
13350 Camino del Sur
Ste 6
San Diego, CA 92129
Phone (858) 484-9977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316161961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13350 CAMINO DEL SUR",
"address_2": "SUITE # 6",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921294473",
"telephone_number": "858-484-9977",
"fax_number": "858-484-9979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13350 CAMINO DEL SUR",
"address_2": "SUITE # 6",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921294473",
"telephone_number": "858-484-9977",
"fax_number": "858-484-9979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIJAYA KV PRABHU.DDS. A PROFFESSIONAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PRABHU",
"authorized_official_first_name": "PRABHU",
"authorized_official_middle_name": "KV",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-484-9977",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "38736",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST-GENERAL PRACITICE",
"identifier": "1223G0001X",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WestView Dental Office",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.