Organization Active NPI

John M Scaramella DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Newhall, CA
National Provider Identifier
1902991730
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
JOHN M SCARAMELLA DDS INC
Practice address
23450 Lyons Ave
A
Newhall, CA 91321-5778
Phone
(661) 254-0390
Fax
(661) 254-2772
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John M Scaramella, ORAL MAXILLOFACIALNPI 1487901559
Title
President
Phone
(661) 254-0390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

23450 Lyons Ave
A
Newhall, CA 91321-5778

Mailing address

23450 Lyons Ave
A
Newhall, CA 91321-5778
Phone (661) 254-0390

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902991730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23450 LYONS AVE",
            "address_2": "A",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913215778",
            "telephone_number": "661-254-0390",
            "fax_number": "661-254-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23450 LYONS AVE",
            "address_2": "A",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913215778",
            "telephone_number": "661-254-0390",
            "fax_number": "661-254-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M SCARAMELLA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCARAMELLA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-254-0390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ORAL MAXILLOFACIAL"
    },
    "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": []
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.