Organization Active NPI

Ralph a. Nicassio D.D.S.

  • General Practice Dentistry
  • Norwalk, CA
National Provider Identifier
1578774550
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
B33642 Issued in CA
Legal business name
RALPH A. NICASSIO D.D.S.
Practice address
11936 Imperial Hwy
Norwalk, CA 90650-3000
Phone
(562) 868-7768
Fax
(562) 863-2369
NPI assigned
May 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ralph A. Nicassio, D.D.S.NPI 1386794733
Title
Owner
Phone
(562) 868-7768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X B33642 CA Primary

Addresses

Primary practice location

11936 Imperial Hwy
Norwalk, CA 90650-3000

Mailing address

11936 Imperial Hwy
Norwalk, CA 90650-3000
Phone (562) 868-7768

National Provider Directory

National Provider Directory

Locations

11936 Imperial Hwy
Norwalk, CA 90650
Phone (562) 868-7768

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578774550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11936 IMPERIAL HWY",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503000",
            "telephone_number": "562-868-7768",
            "fax_number": "562-863-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11936 IMPERIAL HWY",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503000",
            "telephone_number": "562-868-7768",
            "fax_number": "562-863-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH A. NICASSIO D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICASSIO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-868-7768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B33642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.