Ursula Vanesa Parducho, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52725 Issued in CA

Practice address

1426 Aviation Blvd Ste 101
Redondo Beach, CA 90278-4061

Phone

(310) 376-4537

Fax

(310) 376-0505

NPI assigned

May 22, 2007

Last updated

Mar 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ursula Vanesa Garcia Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1851501878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 AVIATION BLVD STE 101",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784061",
            "telephone_number": "310-376-4537",
            "fax_number": "310-376-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 AVIATION BLVD STE 101",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784061",
            "telephone_number": "310-376-4537",
            "fax_number": "310-376-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDUCHO",
        "first_name": "URSULA",
        "middle_name": "VANESA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "URSULA",
            "last_name": "GARCIA",
            "middle_name": "VANESA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evelyn Pang
• Katherine Pang
• Lindsey Michelle Paniagua
• Dana Papageorge, M.A., CCC-SLP
• Kimberly Pappas, PPS
• Monisha Shona Paripatyadar, O.D.
• Kyung Won Park, LA.C.
• Lawrence Neil Parker, M.D.
• Lindsey Parkhurst
• Parks Anesthesia Services Corporation

• General Practice Dentistry in Redondo Beach, CA
• Providers in Redondo Beach, 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 Mar 11, 2008; 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.