Organization Active NPI

Victor de Los Santos, DDS

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1750735296
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36534 Issued in CA
Legal business name
VICTOR DE LOS SANTOS, DDS
Practice address
201 S Alvarado Street
Suite 402
Los Angeles, CA 90057
Phone
(213) 484-2919
Fax
(213) 484-2132
NPI assigned
Apr 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Dr. Victor De Los Santos, D.D.S.
Title
Dentist
Phone
(626) 297-1391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 36534 CA Primary

Addresses

Primary practice location

201 S Alvarado Street
Suite 402
Los Angeles, CA 90057

Mailing address

201 S Alvarado St
Suite #402
Los Angeles, CA 90057-2320
Phone (213) 484-2919

Other names 1

  • Professional Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bixby Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

201 S Alvarado St
Ste 402
Los Angeles, CA 90057
Phone (213) 484-2919

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1750735296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S ALVARADO ST",
            "address_2": "SUITE #402",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572320",
            "telephone_number": "213-484-2919",
            "fax_number": "213-484-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ALVARADO STREET",
            "address_2": "SUITE 402",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90057",
            "telephone_number": "213-484-2919",
            "fax_number": "213-484-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR DE LOS SANTOS, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "DE LOS SANTOS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-297-1391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "36534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.