Organization Active NPI

Alfredo Brest Vico, D.D.S, Co

  • General Practice Dentistry
  • Fillmore, CA
National Provider Identifier
1497519086
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALFREDO BREST VICO, D.D.S, CO
Practice address
751 W Ventura St Ste F
Fillmore, CA 93015-1800
Phone
(805) 524-5009
NPI assigned
Feb 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Alfredo Vico
Title
Owner
Phone
(404) 593-3578

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

751 W Ventura St Ste F
Fillmore, CA 93015-1800

Mailing address

751 W Ventura St Ste F
Fillmore, CA 93015-1800

Other practice location 1

2940 E Thousand Oaks Blvd Ste D
Thousand Oaks, CA 91362-3291
Phone (805) 409-9009

National Provider Directory

National Provider Directory

Locations

2940 E Thousand Oaks Blvd
Ste D
Thousand Oaks, CA 91362
Phone (805) 409-9009

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1497519086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 W VENTURA ST STE F",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 W VENTURA ST STE F",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151800",
            "telephone_number": "805-524-5009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2940 E Thousand Oaks Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913623291",
            "country_code": "US",
            "telephone_number": "805-409-9009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALFREDO BREST VICO, D.D.S, CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "VICO",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-593-3578"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fillmore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.