Individual provider Active NPI

Bill Ginzburg, D.D.S.

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1336360510
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40241 Issued in CA
Practice address
3130 S Sepulveda Blvd Ste E
Los Angeles, CA 90034-4214
Phone
(310) 268-0646
Fax
(310) 268-0536
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 40241 CA Primary

Addresses

Primary practice location

3130 S Sepulveda Blvd Ste E
Los Angeles, CA 90034-4214

Mailing address

3130 S Sepulveda Blvd Ste E
Los Angeles, CA 90034-4214
Phone (310) 268-0646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190528000996 CA Practitioner - Maxillofacial SurgeryPractitioner - Dentist 8224334107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336360510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 S SEPULVEDA BLVD STE E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900344214",
            "telephone_number": "310-268-0646",
            "fax_number": "310-268-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 S SEPULVEDA BLVD STE E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900344214",
            "telephone_number": "310-268-0646",
            "fax_number": "310-268-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINZBURG",
        "first_name": "BILL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.