Individual provider Active NPI

Amalia Seraspi Osma, D.M.D.

  • General Practice Dentistry
  • Palmdale, CA
National Provider Identifier
1871707083
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55605 Issued in CA
Practice address
510 W Rancho Vista Blvd
Palmdale, CA 93551-3737
Phone
(661) 273-3118
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 55605 CA Primary

Addresses

Primary practice location

510 W Rancho Vista Blvd
Palmdale, CA 93551-3737

Mailing address

19115 Community St
Northridge, CA 91324-4221
Phone (818) 268-0178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191028001458 CA Practitioner - Oral Surgery 3375875123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55605CAMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
A. Osma Dental Corporation General Practice CurrentSince Oct 6, 2019 Accepting new patients

Locations

37935 47th St E
Ste A22
Palmdale, CA 93552
Phone (661) 350-3344

Interoperability endpoints

  • Direct secure messaging: aosma@direct.westerndental.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871707083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19115 COMMUNITY ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244221",
            "telephone_number": "818-268-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W RANCHO VISTA BLVD",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513737",
            "telephone_number": "661-273-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMA",
        "first_name": "AMALIA",
        "middle_name": "SERASPI",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.