Organization Active NPI

LSCJ

  • Dentist
  • San Marino, CA
National Provider Identifier
1497293278
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38175 Issued in CA
Legal business name
LSCJ
Practice address
2384 Huntington Dr
San Marino, CA 91108-2641
Phone
(626) 286-6680
Fax
(626) 286-7619
NPI assigned
Feb 1, 2017
Organization subpart
Yes
Parent organization
BRANDON V. CUCCIA, DDSAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Violeta J Narvaez
Title
Office Manager
Phone
(626) 287-0797

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

2384 Huntington Dr
San Marino, CA 91108
Phone (626) 286-6680

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 38175 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

2384 Huntington Dr
San Marino, CA 91108-2641

Mailing address

2384 Huntington Dr
San Marino, CA 91108-2641
Phone (626) 286-6680

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 1, 2017.

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1497293278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2384 HUNTINGTON DR",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082641",
            "telephone_number": "626-286-6680",
            "fax_number": "626-286-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2384 HUNTINGTON DR",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082641",
            "telephone_number": "626-286-6680",
            "fax_number": "626-286-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSCJ",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRANDON V. CUCCIA, DDS",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "NARVAEZ",
        "authorized_official_first_name": "VIOLETA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-287-0797"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.