Ramon Alfredo Brest Vico, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60098 Issued in CA

Practice address

2940 E Thousand Oaks Blvd Ste D
Thousand Oaks, CA 91362-3291

Phone

(805) 409-9009

NPI assigned

Dec 30, 2010

Sex

Male

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.

• Alfredo Brest Vico, D.D.S, Co

  • General Practice Dentistry
  • Fillmore, CA
  • NPI 1497519086
  NPD

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1780988030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 E THOUSAND OAKS BLVD STE D",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913623291",
            "telephone_number": "805-409-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 E THOUSAND OAKS BLVD STE D",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913623291",
            "telephone_number": "805-409-9009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 W Ventura St Ste F",
            "address_purpose": "LOCATION",
            "city": "Fillmore",
            "state": "CA",
            "postal_code": "930151800",
            "country_code": "US",
            "telephone_number": "805-524-5009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREST VICO",
        "first_name": "RAMON",
        "middle_name": "ALFREDO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-30",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Glenna Breines, M.A., C.C.C.
• Jared Brems, BA
• Brenda Fernandez
• Robert M Brenner, M.D.
• Tamir Eliyahu Bresler, MD
• Brian Slywka,M.D.,a Professional Corporation
• Bridget S Tester DPM Inc
• Morgan Brizendine
• Jennie Tara Broadhurst, BA DEGREE
• Susan Broccoli

• General Practice Dentistry in Thousand Oaks, CA
• Providers in Thousand Oaks, 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 Dec 13, 2023; 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.