Sophia Rozov, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45820 Issued in CA

Practice address

19233 Ventura Blvd
Tarzana, CA 91356-3122

Phone

(818) 705-7900

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sophia Basin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Sophia Rozov DDS, Inc

  • General Practice Dentistry
  • Tarzana, CA
  • NPI 1184749392
  NPD (past) Authorized official
• Sophia Rozov DDS, Inc

  • General Practice Dentistry
  • Pico Rivera, CA
  • NPI 1346365657
  NPD (past) Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1376688663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 ETIWANDA AVE",
            "address_2": "#5",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562700",
            "telephone_number": "818-635-9141",
            "fax_number": "818-705-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19233 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563122",
            "telephone_number": "818-705-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZOV",
        "first_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "BASIN",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matt Reza Rostami, M.D
• Colette Rotmil, CADC II, LPCC
• Roy D Ayalon, MD., Inc
• Royal Care Home Health Inc
• Galit Elizabeth Royker
• Nicchi M Rozsa, LMFT
• RT Barowsky Inc
• Marisela Rubalcaba I
• Sandra Rubalcava, AMFT
• David J Rubenstein, M.D.

• General Practice Dentistry in Tarzana, CA
• Providers in Tarzana, 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 18, 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.