NPIMap

Organization Active NPI

Eprosystem Inc.

  • Clinic/Center
  • Simi Valley, CA
National Provider Identifier
1609363423
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DDS36589 Issued in CA
Legal business name
EPROSYSTEM INC.
Practice address
3208 E Los Angeles Ave
Suite 33
Simi Valley, CA 93065
Phone
(805) 584-2802
Fax
(805) 584-1410
NPI assigned
Apr 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Dr. Khang T Nguyen, DDSNPI 1447369301
Title
Presideent
Phone
(805) 584-2802

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
Clinic/Center 261Q00000X DDS36589 CA Primary

Addresses

Primary practice location

3208 E Los Angeles Ave
Suite 33
Simi Valley, CA 93065

Mailing address

3208 E Los Angeles Ave Ste 33
Simi Valley, CA 93065-6107
Phone (805) 584-2802

National Provider Directory

National Provider Directory

Locations

3208 E Los Angeles Ave
Ste 33
Simi Valley, CA 93065
Phone (805) 584-2553

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1609363423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 E LOS ANGELES AVE STE 33",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656107",
            "telephone_number": "805-584-2802",
            "fax_number": "805-584-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 E LOS ANGELES AVE",
            "address_2": "SUITE 33",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "805-584-2802",
            "fax_number": "805-584-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPROSYSTEM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KHANG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDEENT",
        "authorized_official_telephone_number": "805-584-2802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "DDS36589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.