Active NPI
Jean Braza, D.D.S.
- General Practice Dentistry
- Oxnard, CA
National Provider Identifier
1619970159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 46169
- Practice address
- 1804 Saviers Rd
Ste B
Oxnard, CA 93033-3649 - Phone
- (805) 385-4888
- Fax
- (805) 385-4889
- NPI assigned
- May 28, 2005
- Reactivated
- Mar 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 46169 | CA | Primary |
Addresses
Primary practice location
1804 Saviers Rd
Ste B
Oxnard, CA 93033-3649
Mailing address
1804 Saviers Rd
Ste B
Oxnard, CA 93033-3649
Phone (805) 385-4888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 246169 | Other | CA | DELTA DENTAL OF CA |
| B46169 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160224001533 | CA | Order and Referring Only - Dentist | 6204131584 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46169 | CA | MD | Pharmacist |
Interoperability endpoints
- jean.braza.p1@direct.clinicas.nextgenshare.com
- jbraza802574@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619970159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 SAVIERS RD",
"address_2": "STE B",
"city": "OXNARD",
"state": "CA",
"postal_code": "930333649",
"telephone_number": "805-385-4888",
"fax_number": "805-385-4889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 SAVIERS RD",
"address_2": "STE B",
"city": "OXNARD",
"state": "CA",
"postal_code": "930333649",
"telephone_number": "805-385-4888",
"fax_number": "805-385-4889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAZA",
"first_name": "JEAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-28",
"last_updated": "2026-07-13",
"deactivation_date": "2006-03-17",
"reactivation_date": "2006-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "46169",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF CA",
"identifier": "246169",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B46169",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.