Active NPI
Ramy Wissa
- Dentist
- Torrance, CA
National Provider Identifier
1619464542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS103940
- Practice address
- 1000 W Carson St
Torrance, CA 90502-2004 - Phone
- (310) 222-2345
- NPI assigned
- Apr 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS103940 | CA | Primary |
Addresses
Primary practice location
1000 W Carson St
Torrance, CA 90502-2004
Mailing address
956 N del Sol LN
Diamond Bar, CA 91765-1107
Phone (909) 706-9094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS103940 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1619464542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "956 N DEL SOL LN",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917651107",
"telephone_number": "909-706-9094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W CARSON ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022004",
"telephone_number": "310-222-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISSA",
"first_name": "RAMY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-17",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS103940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.