NPIMap

Organization Active NPI

University of Southern California

Doing business as Herman Ostrow School of Dentistry Mobile Clinic

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1497169759
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D53653 Issued in CA
Legal business name
UNIVERSITY OF SOUTHERN CALIFORNIA
Doing business as
Herman Ostrow School of Dentistry Mobile Clinic
Practice address
1149 S Hill St
Suite H550
Los Angeles, CA 90015-2212
Phone
(213) 740-7405
NPI assigned
Jun 16, 2014
Last updated
Oct 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Ms. Charlene Flowers
Title
Director of Clinical Finance
Phone
(213) 740-7405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D53653 CA Primary

Addresses

Primary practice location

1149 S Hill St
Suite H550
Los Angeles, CA 90015-2212

Mailing address

1149 S Hill St
Suite H550
Los Angeles, CA 90015-2212

Other identifiers 1

IdentifierTypeStateIssuer
U90595MedicaidCA

Other names 1

  • Herman Ostrow School of Dentistry Mobile Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Usc School of Dentistry32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1497169759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 S HILL ST",
            "address_2": "SUITE H550",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 S HILL ST",
            "address_2": "SUITE H550",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152212",
            "telephone_number": "213-740-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SOUTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL FINANCE",
        "authorized_official_telephone_number": "213-740-7405",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D53653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U90595",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herman Ostrow School of Dentistry Mobile Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 22, 2014; 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.