Susanna Gukasov, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61455 Issued in CA

Practice address

19520 Nordhoff St Ste 17
Northridge, CA 91324-2444

Phone

(818) 565-0057

NPI assigned

May 14, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Susanna Gukasov DDS Professional Corporation

  • Dental Clinic/Center
  • Northridge, CA
  • NPI 1285403436
  NPD Authorized official
• Elie Dental Corporation

  dba Empire Dental Group

  • Periodontics
  • Burbank, CA
  • NPI 1740389972

  General Practice

  NPD (past)

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1679919997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19520 NORDHOFF ST STE 17",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242444",
            "telephone_number": "818-701-9400",
            "fax_number": "818-557-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19520 NORDHOFF ST STE 17",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242444",
            "telephone_number": "818-565-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUKASOV",
        "first_name": "SUSANNA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2024-07-29",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Guerra
• Richard A Guest, M.D.
• Joseph Guieb
• Sean Paul Guilford
• Abigail Isabel Guillen
• Gulfport Testing
• Sanjay K Gupta
• Sonam Gupta
• Gureghian Chiropractic
• Carol Gurrola

• General Practice Dentistry in Northridge, CA
• Providers in Northridge, 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 Jul 29, 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.