Active NPI
Jaime L Policarpio, D.M.D.
- General Practice Dentistry
- Sun Valley, CA
National Provider Identifier
1629220868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 57800
- Practice address
- 9944 Milburn Dr
Sun Valley, CA 91352-4245 - Phone
- (818) 450-6903
- NPI assigned
- Oct 21, 2008
- Sex
- Male
- 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 | 57800 | CA | Primary |
Addresses
Primary practice location
9944 Milburn Dr
Sun Valley, CA 91352-4245
Mailing address
9944 Milburn Dr
Sun Valley, CA 91352-4245
Phone (818) 450-6903
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 |
|---|---|---|---|
| 57800 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1629220868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9944 MILBURN DR",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913524245",
"telephone_number": "818-450-6903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9944 MILBURN DR",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913524245",
"telephone_number": "818-450-6903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLICARPIO",
"first_name": "JAIME",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-21",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "57800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.