Organization Active NPI

Sergio Ocampo DDS PC

Doing business as Imperial Dental

  • Dentist
  • La Mirada, CA
National Provider Identifier
1730392499
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37888 Issued in CA
Legal business name
SERGIO OCAMPO DDS PC
Doing business as
Imperial Dental
Practice address
15769 Imperial Hwy
La Mirada, CA 90638-2510
Phone
(562) 902-9898
Fax
(562) 902-9797
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Authorized official

Name
Dr. Sergio G. Ocampo, DDSNPI 1063503993
Title
President
Phone
(562) 902-9898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 37888 CA Primary

Addresses

Primary practice location

15769 Imperial Hwy
La Mirada, CA 90638-2510

Mailing address

15769 Imperial Hwy
La Mirada, CA 90638-2510
Phone (562) 902-9898

Other names 1

  • IMPERIAL DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

15769 Imperial Hwy
La Mirada, CA 90638
Phone (562) 217-4369

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1730392499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15769 IMPERIAL HWY",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906382510",
            "telephone_number": "562-902-9898",
            "fax_number": "562-902-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15769 IMPERIAL HWY",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906382510",
            "telephone_number": "562-902-9898",
            "fax_number": "562-902-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO OCAMPO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "OCAMPO",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-902-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "37888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMPERIAL DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mirada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.