Individual provider Active NPI

Andres Alejandro Almora, DDS

  • General Practice Dentistry
  • Van Nuys, CA
National Provider Identifier
1679311518
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS110130 Issued in CA
Practice address
14649 Victory Blvd Ste 24
Van Nuys, CA 91411-4101
Phone
(818) 779-1663
NPI assigned
Jul 16, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS110130 CA Primary

Addresses

Primary practice location

14649 Victory Blvd Ste 24
Van Nuys, CA 91411-4101

Mailing address

16840 McCormick St
Encino, CA 91436-1022
Phone (818) 438-6878

Other practice location 1

761 S Fetterly Ave
Los Angeles, CA 90022-2519
Phone (323) 269-8600

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

LicenseStateTypeSpecialty
DDS110130CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Andres Almora DDS Inc CurrentSince Nov 3, 2024 Accepting new patients
Albertina Silva DDS, Inc General Practice PastSince Jul 21, 2024 Accepting new patients

Locations

761 S Fetterly Ave
Los Angeles, CA 90022
Phone (323) 269-8600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1679311518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16840 MCCORMICK ST",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361022",
            "telephone_number": "818-438-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14649 VICTORY BLVD STE 24",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114101",
            "telephone_number": "818-779-1663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "761 S Fetterly Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900222519",
            "country_code": "US",
            "telephone_number": "323-269-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALMORA",
        "first_name": "ANDRES",
        "middle_name": "ALEJANDRO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS110130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.