Vicente Dela Pena Son

Primary specialty

DentistTaxonomy code 122300000X

License

41552 Issued in CA

Practice address

1131 N Vermont Ave Ste 107
Los Angeles, CA 90029-1764

Phone

(213) 739-0120

Fax

(213) 739-0720

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Vicente P. Son, DDS a Professional Dental Corp.

  • Dentist
  • Los Angeles, CA
  • NPI 1326462045
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641600000000",
    "number": "1801810833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N VERMONT AVE STE 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291764",
            "telephone_number": "213-739-0120",
            "fax_number": "213-739-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 N VERMONT AVE STE 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291764",
            "telephone_number": "213-739-0120",
            "fax_number": "213-739-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SON",
        "first_name": "VICENTE",
        "middle_name": "DELA PENA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801810833",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1131 N Vermont Ave Ste 107",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900291764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Min Soo Son
• Moo Ah Son, LAC
• Sehyeong Son
• Seung Cheon Son, DDS
• Sung Eun Son, PHARM.D.
• Sona Patel M.D., Inc.
• Fereshteh Angela Sonbolian
• Tracy Sondern
• Sunaina Sondhi
• Hiromi Sone

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; 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.