Ventura Specialty Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

35503 Issued in CA

Legal business name

VENTURA SPECIALTY DENTAL GROUP

Practice address

6325 Topanga Canyon Blvd
Suite 202
Woodland Hills, CA 91367-2006

Phone

(818) 703-7733

NPI assigned

Sep 8, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Daisy Gagui

Title

Om

Phone

(818) 703-7733

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1639547698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD",
            "address_2": "SUITE 202",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672006",
            "telephone_number": "818-703-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD",
            "address_2": "SUITE 202",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672006",
            "telephone_number": "818-703-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA SPECIALTY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "GAGUI",
        "authorized_official_first_name": "DAISY",
        "authorized_official_title_or_position": "OM",
        "authorized_official_telephone_number": "818-703-7733",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "35503",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35503",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Venegas
• Fabiola Yazmin Venegas, LCSW
• Sarah Venegas
• Ventura Care, Inc.
• Ventura Park Management LLC
• Zenaida Vera Cruz
• Vera Mental Health & Wellness Professional Nursing Corporation
• Annette Vera
• Vanessa Vera
• Verci Jewelry Corp

• Dentist in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.