Gennady Landa, DDS, MD, Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

GENNADY LANDA, DDS, MD, INC.

Practice address

44441 16TH St W Ste 103
Lancaster, CA 93534-2873

Phone

(661) 945-4040

Fax

(661) 945-9120

NPI assigned

Jun 12, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Gennady Landa, DDS, MDNPI 1639334212

Title

President

Phone

(818) 970-0253

Specialties & licenses 1

Addresses

Other names 1

• Antelope Valley Oral Surgery Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gennady Landa, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Lancaster, CA
  • NPI 1639334212
  NPD Authorized official
• Alexei I Mizin, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Calabasas, CA
  • NPI 1417149212
  NPD (past)

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1356834675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44441 16TH ST W STE 103",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342873",
            "telephone_number": "661-945-4040",
            "fax_number": "661-945-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44441 16TH ST W STE 103",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342873",
            "telephone_number": "661-945-4040",
            "fax_number": "661-945-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENNADY LANDA, DDS, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "LANDA",
        "authorized_official_first_name": "GENNADY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-970-0253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antelope Valley Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rodrigo Gerber

• Oral and Maxillofacial Surgery (Dentist) in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.