Individual provider Active NPI

Ramil Almendrala Macasaet, D.D.S.

  • Dentist
  • Tarzana, CA
National Provider Identifier
1629293774
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55289 Issued in CA
Practice address
19100 Ventura Blvd
Suite #1
Tarzana, CA 91356-3239
Phone
(818) 268-1634
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 55289 CA Primary

Addresses

Primary practice location

19100 Ventura Blvd
Suite #1
Tarzana, CA 91356-3239

Mailing address

19045 Gault St
Unit #11
Reseda, CA 91335-3953
Phone (818) 268-1590

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
R. a. Macasaet Dental Corporation Current Accepting new patients

Locations

19100 Ventura Blvd
Ste 1
Tarzana, CA 91356
Phone (818) 268-1634

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1629293774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19045 GAULT ST",
            "address_2": "UNIT #11",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353953",
            "telephone_number": "818-268-1590",
            "fax_number": "818-996-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19100 VENTURA BLVD",
            "address_2": "SUITE #1",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563239",
            "telephone_number": "818-268-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACASAET",
        "first_name": "RAMIL",
        "middle_name": "ALMENDRALA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.