Individual provider Active NPI

Edna Pasquel Braza

  • General Practice Dentistry
  • Oxnard, CA
National Provider Identifier
1548430580
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43228 Issued in CA
Practice address
650 Hobson Way
Suite 101
Oxnard, CA 93030-6706
Phone
(805) 240-7996
Fax
(805) 240-7935
NPI assigned
Mar 5, 2008
Last updated
Mar 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43228 CA Primary

Addresses

Primary practice location

650 Hobson Way
Suite 101
Oxnard, CA 93030-6706

Mailing address

650 Hobson Way
Suite 101
Oxnard, CA 93030-6706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160620001742 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8022309277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edna Pasquel Braza Dental Inc. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1548430580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HOBSON WAY",
            "address_2": "SUITE 101",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HOBSON WAY",
            "address_2": "SUITE 101",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306706",
            "telephone_number": "805-240-7996",
            "fax_number": "805-240-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZA",
        "first_name": "EDNA",
        "middle_name": "PASQUEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.