Individual provider Active NPI

Gulabrai B. Ukani, DDS

  • General Practice Dentistry
  • Norco, CA
National Provider Identifier
1578686440
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34006 Issued in CA
Practice address
1540 Hamner Ave
Suite 102
Norco, CA 92860-2914
Phone
(951) 340-1144
Fax
(951) 340-2722
NPI assigned
Apr 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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 34006 CA Primary

Addresses

Primary practice location

1540 Hamner Ave
Suite 102
Norco, CA 92860-2914

Mailing address

1540 Hamner Ave
Suite 102
Norco, CA 92860-2914
Phone (951) 340-1144

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
I20160608001576 CA Order and Referring Only - DentistPractitioner - Dentist 9032409792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ukanidentalgroup 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1578686440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 HAMNER AVE",
            "address_2": "SUITE 102",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928602914",
            "telephone_number": "951-340-1144",
            "fax_number": "951-340-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 HAMNER AVE",
            "address_2": "SUITE 102",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928602914",
            "telephone_number": "951-340-1144",
            "fax_number": "951-340-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKANI",
        "first_name": "GULABRAI",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-07",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, CA

Sources for this page

Verify at the official NPI Registry.