Santa Clara Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56689 Issued in CA

Legal business name

SANTA CLARA DENTAL

Practice address

4126 Crenshaw Blvd
Los Angeles, CA 90008-2549

Phone

(323) 294-9600

NPI assigned

Oct 24, 2008

Last updated

Oct 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gilberta Leticia Galvez, DDS

Title

Dentist

Phone

(323) 294-9600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1639322431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900082549",
            "telephone_number": "323-294-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900082549",
            "telephone_number": "323-294-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "GALVEZ",
        "authorized_official_first_name": "GILBERTA",
        "authorized_official_middle_name": "LETICIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "323-294-9600",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nerses Sanossian, M.D.
• Imam Nazar Sanousi
• Eve Marietou Sanoussi, AMFT
• Vivek Sant, M.D.
• Justin Michael Santa Ana, CRNA
• Maria Santa Cruz
• Santa Fe Internal Medicine Inc
• Santa Home Health Care Inc.
• Santa Margarita Hospice,Inc.
• Cara Louise Santa Maria, PHD

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.