Jeffrey a. Sulitzer, DMD, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D51841 Issued in CA

Legal business name

JEFFREY A. SULITZER, DMD, INC

Practice address

1037 E Palmdale Blvd
Suite 203
Palmdale, CA 93550-4745

Phone

(661) 272-9181

Fax

(661) 272-8932

NPI assigned

Jan 24, 2007

Last updated

Nov 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey A. Sulitzer, DMDNPI 1558652396

Title

Owner

Phone

(661) 272-9181

Specialties & licenses 1

Addresses

Other identifiers 10

Locations

Practitioners 3

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.

• Jeffrey A Sulitzer, DMD

  • General Practice Dentistry
  • Palmdale, CA
  • NPI 1558652396
  NPD (past) Authorized official
• Peyman Monsef, D.D.S.

  • General Practice Dentistry
  • Palmdale, CA
  • NPI 1104118520
  NPD (past)
• Jeongsik Oh

  • Dentist
  • Palmdale, CA
  • NPI 1265196885
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1437204070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 E PALMDALE BLVD",
            "address_2": "SUITE 203",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504745",
            "telephone_number": "661-272-9181",
            "fax_number": "661-272-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 E PALMDALE BLVD",
            "address_2": "SUITE 203",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504745",
            "telephone_number": "661-272-9181",
            "fax_number": "661-272-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A. SULITZER, DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "SULITZER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-272-9181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D51841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC CARE",
            "identifier": "18391",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOLDEN WEST",
            "identifier": "F2989",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD",
            "identifier": "8108",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIBERTY DENTAL",
            "identifier": "004802",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC UNION",
            "identifier": "13059",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1625795",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED DENTAL CARE",
            "identifier": "5169",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "556327",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G93030-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA HEALTHY FAMILIES",
            "identifier": "G98402-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Oh D.D.S. Inc. (AV Sierra Dental Center)
• Diane Javier
• Caliyah Jefferson
• Jawanna Jefferson
• Lonyea Jefferson
• Luisa M Jenkins, RDH
• Dina J Jensen
• Youngil Jeon
• Daisy Jessick, M.S.W.
• JLT Pharmventure Inc (Palmdale Drugstore)

• General Practice Dentistry in Palmdale, CA
• Providers in Palmdale, 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 Nov 3, 2010; 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.