Derek L Vajda DDS MD Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

DEREK L VAJDA DDS MD INC

Practice address

501 S Garfield Ave
Alhambra, CA 91801-3840

Phone

(626) 570-1818

NPI assigned

Jun 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Derek Ludovit Vajda, DDS, MDNPI 1548618648

Title

President

Phone

(219) 789-8308

Specialties & licenses 1

Addresses

Practitioners 3

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

• Derek L Vajda, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Santa Monica, CA
  • NPI 1548618648
  NPD Authorized official
• Edward J. Onruang, DDS

  • Dentist
  • Alhambra, CA
  • NPI 1306022629
  NPD (past)
• Stanley T Tom, DDS

  • Dentist
  • Alhambra, CA
  • NPI 1841352598
  NPD (past)

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1760050736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 CENTINELA AVE",
            "address_2": "UNIT 105",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043222",
            "telephone_number": "219-789-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S GARFIELD AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013840",
            "telephone_number": "626-570-1818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1541 Centinela Ave",
            "address_2": "Unit 105",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904043222",
            "country_code": "US",
            "telephone_number": "219-789-8308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEREK L VAJDA DDS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "VAJDA",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "LUDOVIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-789-8308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chessa Francisco Del Rosario, NP
• Myra Del Rosario
• Andrik Alexander Delgadillo
• Eugene Delrosario, PA
• Stephen P Denq, M.D.
• Derek Wong Professional Dental Corporation
• Harrison Detroy, DDS
• Nancy Devora-Huizar
• Dhia a M Al-Wardi M D Inc
• Dianne E Wu M D S C a Professional

• Oral and Maxillofacial Surgery (Dentist) in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.