Active NPI
Mangala Patil-Holt, DDS
- Dentist
- Ventura, CA
National Provider Identifier
1578639670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31108
- Practice address
- 200 S Wells Rd
Suite 200
Ventura, CA 93004-1377 - Phone
- (805) 659-1740
- Fax
- (805) 659-9959
- NPI assigned
- Nov 28, 2006
- Last updated
- Mar 21, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 31108 | CA | Primary |
Addresses
Primary practice location
200 S Wells Rd
Suite 200
Ventura, CA 93004-1377
Mailing address
200 S Wells Rd
Suite 200
Ventura, CA 93004-1377
Phone (805) 659-1740
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31108 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1578639670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S WELLS RD",
"address_2": "SUITE 200",
"city": "VENTURA",
"state": "CA",
"postal_code": "930041377",
"telephone_number": "805-659-1740",
"fax_number": "805-659-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S WELLS RD",
"address_2": "SUITE 200",
"city": "VENTURA",
"state": "CA",
"postal_code": "930041377",
"telephone_number": "805-659-1740",
"fax_number": "805-659-9959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATIL-HOLT",
"first_name": "MANGALA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "31108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
- Shirish T Patel, MD
- Tara Ann Paterson, M.D.
- Pathpoint (Kids & Families Together)
- Pathpoint
- Patient Centered Psychiatry, Inc
- Ruhi Patil, DO
- Matthew Patjawee
- Patricia D Luckerorth Professional Medical Corporation
- Patrick and Margaret Barker
- Patrick W Diesfeld MD a Professional Corporation (Women's Health Group of Ventura)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.