Bruce Vafa DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52126 Issued in CA

Legal business name

BRUCE VAFA DDS, INC.

Practice address

4341 Laurel Canyon Blvd
Studio City, CA 91604-1710

Phone

(818) 761-3230

NPI assigned

Aug 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Vafa, D.D.S

Title

President

Phone

(818) 761-3230

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Behrouz Vafamansousi DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Smile Angels of Beverly Hills

  • Dentist
  • Beverly Hills, CA
  • NPI 1336488220
  NPD tax ID

Locations

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1386837599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 LAUREL CANYON BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041710",
            "telephone_number": "818-761-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 LAUREL CANYON BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041710",
            "telephone_number": "818-761-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE VAFA DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "VAFA",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-761-3230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G93576-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Brizuela, LCSW
• Alisha Rene Brown, MS, MED, BCBA
• Joan Barbara Brown
• Jonathan S Brown
• Melissa Brown, LMFT
• Bryce McDavitt PHD
• Elizabeth A Buckley, LMFT
• Mari Shone Bukofsky, M.F.T.
• Erica Buonora
• Jennifer E Burgos

• General Practice Dentistry in Studio City, CA
• Providers in Studio City, 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 Apr 9, 2015; 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.