Vladislav Viksman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39909 Issued in CA

Practice address

24011 Ventura Blvd Ste 100
Calabasas, CA 91302-1456

Phone

(818) 222-7399

Fax

(818) 222-7329

NPI assigned

Mar 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598889602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24011 VENTURA BLVD STE 100",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021456",
            "telephone_number": "818-222-7399",
            "fax_number": "818-222-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24011 VENTURA BLVD STE 100",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021456",
            "telephone_number": "818-222-7399",
            "fax_number": "818-222-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIKSMAN",
        "first_name": "VLADISLAV",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janie Kimberly Ambagan Venturina
• David Michael Vesco, M.D
• VGR Research and Development Corp.
• Vibrance Health Services
• Erika Charmaine Lim Vidanez, BCBA
• Eleonora Vince, DPT
• Diane Vo
• Anshu Voruganti
• Vytrac Health Inc
• W N N Medical GRP Inc

• General Practice Dentistry in Calabasas, CA
• Providers in Calabasas, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.