Active NPI
Nellie Manoukian, DDS
- Dentist
- Oxnard, CA
National Provider Identifier
1538054655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 111568
- Practice address
- 140 N a St
Oxnard, CA 93030-5315 - Phone
- (805) 483-9537
- NPI assigned
- Jun 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 111568 | CA | Primary |
Addresses
Primary practice location
140 N a St
Oxnard, CA 93030-5315
Mailing address
3861 Poppyseed LN Apt I
Calabasas, CA 91302-2942
Phone (818) 632-6667
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1538054655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3861 POPPYSEED LN APT I",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913022942",
"telephone_number": "818-632-6667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 N A ST",
"city": "OXNARD",
"state": "CA",
"postal_code": "930305315",
"telephone_number": "805-483-9537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANOUKIAN",
"first_name": "NELLIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-10",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "111568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.