Ralph Anthony Nicassio, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

33642 Issued in CA

Practice address

11936 Imperial Hwy
Norwalk, CA 90650-3000

Phone

(562) 868-7768

Fax

(562) 863-2369

NPI assigned

Jan 10, 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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Ralph a. Nicassio D.D.S.

  • General Practice Dentistry
  • Norwalk, CA
  • NPI 1578774550
  NPD (past) Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386794733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11936 IMPERIAL HWY",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503000",
            "telephone_number": "562-868-7768",
            "fax_number": "562-863-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11936 IMPERIAL HWY",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503000",
            "telephone_number": "562-868-7768",
            "fax_number": "562-863-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICASSIO",
        "first_name": "RALPH",
        "middle_name": "ANTHONY",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "33642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas B Nguyen, D.D.S.
• Toni Thuytu Nguyen, DDS
• Travis Nguyen
• Tuyet-Nga Thi Nguyen, RPH
• Brenda Nhev
• Nichole Nicholas
• Gregory Michael Nicholson, M.D.
• Nicolas Dikio MD Inc
• Bruce Niels, LPT
• Nirvana Care Hospice Services Inc.

• Dentist in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Dentist 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.