Brandon V. Cuccia, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

38175 Issued in CA

Practice address

2384 Huntington Dr
San Marino, CA 91108-2641

Phone

(626) 286-6680

Fax

(626) 286-7619

NPI assigned

Jul 21, 2006

Last updated

Jan 31, 2017By the provider in NPPES

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

Other names 1

• LSCJ Inc Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• LSCJ

  • Dentist
  • San Marino, CA
  • NPI 1497293278
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1609897362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 KEWEN PL",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081104",
            "telephone_number": "626-286-6680",
            "fax_number": "626-286-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2384 HUNTINGTON DR",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082641",
            "telephone_number": "626-286-6680",
            "fax_number": "626-286-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCCIA",
        "first_name": "BRANDON",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LSCJ",
            "last_name": "INC",
            "credential": "CORPORATION",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amie Alonzo Cohen, AGPCNP-BC
• Melvin S Cohen, MD
• Rebekah Ponce Cohen, M.S., CCC-SLP
• Louis Kenneth Countryman, M.D.
• Ryan R Courdy, M.D.
• Cynthia P. Diep D.D.S., Inc.
• Daniel W. Chee, DDS, Apc
• David D. Richardson, M.D., Inc.
• Diamond Vision Institute
• Doctors Choice Medical Group

• Dentist in San Marino, CA
• Providers in San Marino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.