Active NPI
Tracy Ku D.D.S.,Inc
Doing business as California Dentistry
- General Practice Dentistry
- San Gabriel, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 35415
- Legal business name
- TRACY KU D.D.S.,INC
- Doing business as
- California Dentistry
- Practice address
- 1448 S San Gabriel Blvd
San Gabriel, CA 91776-3656 - Phone
- (626) 288-2000
- Fax
- (626) 288-1402
- NPI assigned
- Feb 7, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Ku, DDS
- Title
- President
- Phone
- (626) 288-2000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 35415 | CA | Primary |
Addresses
Primary practice location
1448 S San Gabriel Blvd
San Gabriel, CA 91776-3656
Mailing address
1448 S San Gabriel Blvd
San Gabriel, CA 91776-3656
Phone (626) 288-2000
Other names 1
- California Dentistry
National Provider Directory
National Provider Directory- Tax ID family
- California Dentistry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- San Gabriel, CA
- NPI 1609222991
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- San Gabriel, CA
- NPI 1740398353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1932249273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1448 S SAN GABRIEL BLVD",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917763656",
"telephone_number": "626-288-2000",
"fax_number": "626-288-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1448 S SAN GABRIEL BLVD",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917763656",
"telephone_number": "626-288-2000",
"fax_number": "626-288-1402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRACY KU D.D.S.,INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KU",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-288-2000",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "35415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "California Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Gabriel, 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.