Jiten M Vasa, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30025 Issued in CA

Practice address

11455 Carson St
Suite E
Lakewood, CA 90715-2557

Phone

(562) 860-7116

Fax

(562) 860-7115

NPI assigned

May 23, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Jiten M Vasa, DDS., Inc

  • General Practice Dentistry
  • Lakewood, CA
  • NPI 1114137338
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326258708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11455 CARSON ST",
            "address_2": "SUITE E",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907152557",
            "telephone_number": "562-860-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11455 CARSON ST",
            "address_2": "SUITE E",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907152557",
            "telephone_number": "562-860-7116",
            "fax_number": "562-860-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASA",
        "first_name": "JITEN",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Vance
• David L. Vannix, MD
• Hugo Vargas
• Melody Vargas
• Ankit J Vasa, DDS
• Jazzmine Vasquez
• Joshoa Thomas Vasquez
• Stephanie Vasquez
• Vanessa Veith
• Mario Enrique Velasquez Jr.

• General Practice Dentistry in Lakewood, CA
• Providers in Lakewood, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.