Organization Active NPI

SCV Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Valencia, CA
National Provider Identifier
1649717075
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
45296 Issued in CA
Legal business name
SCV ORAL AND MAXILLOFACIAL SURGERY
Practice address
26357 McBean Pkwy Ste 255
Valencia, CA 91355-5504
Phone
(661) 255-1515
Fax
(661) 255-1661
NPI assigned
Jan 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Authorized official

Name
Robert Wayne Mower, DDS
Title
General Manager
Phone
(661) 255-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 45296 CA Primary

Addresses

Primary practice location

26357 McBean Pkwy Ste 255
Valencia, CA 91355-5504

Mailing address

26357 McBean Pkwy Ste 255
Valencia, CA 91355-5504
Phone (661) 255-1515

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1649717075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26357 MCBEAN PKWY STE 255",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555504",
            "telephone_number": "661-255-1515",
            "fax_number": "661-255-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26357 MCBEAN PKWY STE 255",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555504",
            "telephone_number": "661-255-1515",
            "fax_number": "661-255-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCV ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "MOWER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "661-255-1515",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "45296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.