Victor de Los Santos D.D.S. Inc

Primary specialty

DentistTaxonomy code 122300000X

License

36534 Issued in CA

Legal business name

VICTOR DE LOS SANTOS D.D.S. INC

Doing business as

Bixby Dentistry

Practice address

3712 Atlantic Ave
Ste C
Long Beach, CA 90807-6671

Phone

(562) 426-1298

Fax

(562) 426-4131

NPI assigned

Jan 7, 2016

Last updated

Jan 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Victor De Los Santos, DDSNPI 1710019385

Title

Owner/Dentust

Phone

(562) 426-1298

Specialties & licenses 1

Addresses

Other names 1

• Bixby Dentistry Doing business as

Tax ID family

Bixby Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Victor de Los Santos, DDS

  dba Professional Dental Care

  • Dentist
  • Los Angeles, CA
  • NPI 1750735296
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victor De Los Santos, D,D.S.

  • General Practice Dentistry
  • Arcadia, CA
  • NPI 1710019385
  NPD (past) Authorized official

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1558727453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 ATLANTIC AVE",
            "address_2": "STE C",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908076671",
            "telephone_number": "562-426-1298",
            "fax_number": "562-426-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 ATLANTIC AVE",
            "address_2": "STE C",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908076671",
            "telephone_number": "562-426-1298",
            "fax_number": "562-426-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR DE LOS SANTOS D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "DE LOS SANTOS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER/DENTUST",
        "authorized_official_telephone_number": "562-426-1298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "36534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bixby Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Violeta B. Vicencio, MD
• Montserrat Vicente
• Michael Vicioso, PNP
• Luke David Vickers, DDS
• Katie Vicklun
• Victor de Los Santos DDS
• Victoria Foley Podiatric Medical
• Victoria Nguyen Dental Corporation (Marina Smiles Dentistry Dental Group)
• Carolyn Hacinas Victoria, PHARM.D.
• Vida Avanti Medicine (Vida Avanti Regenerative Medicine)

• Dentist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.