Vivian C. Banaria, DMD, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56586 Issued in CA

Legal business name

VIVIAN C. BANARIA, DMD, INC.

Practice address

5300 Santa Monica Blvd
Ste. 401
Los Angeles, CA 90029-1131

Phone

(323) 957-9227

NPI assigned

Apr 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Vivian Banaria, DMDNPI 1245589126

Title

President

Phone

(323) 957-9227

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vivian Caterio Banaria, D.M.D.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1245589126
  Medicare reassignment NPD Authorized official
• Quang Minh Ngo

  • General Practice Dentistry
  • Fountain Valley, CA
  • NPI 1790300267
  NPD (past)

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1417391616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 SANTA MONICA BLVD",
            "address_2": "STE. 401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291131",
            "telephone_number": "323-957-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 SANTA MONICA BLVD",
            "address_2": "STE. 401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291131",
            "telephone_number": "323-957-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIAN C. BANARIA, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "BANARIA",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-957-9227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DENTAL BOARD LICENSE",
            "identifier": "56586",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vive RX, Inc. (Vive Rx Pharmacy)
• Angelica Vivero, M.D.
• Edward Vivero
• Renee Nicole Viveros, M.A. APPLIED PSYCHOL
• Violeta Viveros
• Vivian Tran DDS Dental Corporation
• Xavier Vivian-Jones
• Kyle Vivo, PA-C
• Cindy Vizcaino, LVN
• Clarissa Paloma Vizcaino

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.