Active NPI
Alfredo Brest Vico, D.D.S, Co
- General Practice Dentistry
- Fillmore, CA
National Provider Identifier
1497519086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Thousand Oaks, CA
- NPI 1780988030
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.