Individual provider Active NPI

Stella Gosis, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1487792933
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35565 Issued in CA
Practice address
6464 W Sunset Blvd
Suite # 780
Los Angeles, CA 90028-8001
Phone
(323) 469-7701
NPI assigned
Feb 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35565 CA Primary

Addresses

Primary practice location

6464 W Sunset Blvd
Suite # 780
Los Angeles, CA 90028-8001

Mailing address

6464 W Sunset Blvd
Suite # 780
Los Angeles, CA 90028-8001
Phone (323) 469-7701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35565CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487792933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 W SUNSET BLVD",
            "address_2": "SUITE # 780",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900288001",
            "telephone_number": "323-469-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 W SUNSET BLVD",
            "address_2": "SUITE # 780",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900288001",
            "telephone_number": "323-469-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSIS",
        "first_name": "STELLA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.