California Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

65148 Issued in CA

Legal business name

CALIFORNIA DENTISTRY

Practice address

1448 S San Gabriel Blvd
San Gabriel, CA 91776-3656

Phone

(626) 288-2000

NPI assigned

May 5, 2016

Last updated

May 5, 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. Tracy Ku, D.D.S.NPI 1740398353

Title

Owner

Phone

(626) 288-2000

Specialties & licenses 1

Addresses

Tax ID family

California 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.

• Tracy Ku D.D.S.,Inc

  dba California Dentistry

  • General Practice Dentistry
  • San Gabriel, CA
  • NPI 1932249273
  NPD tax ID

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.

• Tracy Ku, D.D.S.

  • General Practice Dentistry
  • San Gabriel, CA
  • NPI 1740398353
  Authorized official Same address or phone

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1609222991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 S SAN GABRIEL BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763656",
            "telephone_number": "626-288-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 S SAN GABRIEL BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763656",
            "telephone_number": "626-288-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "KU",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-288-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "65148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buer Improvement Inc
• Walter Richard Bukata, M.D.
• C&S Child, Adult, and Family Therapy Services Corporation
• Judith Adela Cagan, M.D.
• Guoping Cai
• California Headache and Pain Specialist, Inc.
• Michael Scott Campbell, PHARMD
• Victor Alejandro Campos, BA, BCABA
• Judy Cao, O.D.
• Jessica Capra, AMFT

• General Practice Dentistry in San Gabriel, CA
• Providers in San Gabriel, 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 May 5, 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.