Luz Consuelo Cubillos, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39040 Issued in CA

Practice address

451 W Gonzales Rd Ste 160
Oxnard, CA 93036-0724

Phone

(805) 988-3303

Fax

(805) 988-0905

NPI assigned

Mar 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Luz Cubillos D.D.S.,Inc

  • General Practice Dentistry
  • Oxnard, CA
  • NPI 1225238520
  NPD (past) Authorized official
• Northern Valley Indian Health Inc

  • Clinic/Center
  • Willows, CA
  • NPI 1295752384
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396873303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 LOST POINT LN",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306769",
            "telephone_number": "310-200-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 W GONZALES RD STE 160",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360724",
            "telephone_number": "805-988-3303",
            "fax_number": "805-988-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUBILLOS",
        "first_name": "LUZ",
        "middle_name": "CONSUELO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrie Croteau, RDHAP
• Daniela Cruz
• Geovani Cruz
• Irene Cruz, DDS
• Victor Alfonso Cruz, EMT
• Laura Cuevas Cruz
• Eva L. Cuevas, LVN
• Crystal Culapan
• Mary Ellen Cullen, LCSW
• Lisa Curth

• General Practice Dentistry in Oxnard, CA
• Providers in Oxnard, 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 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.