Active NPI
Gloria Umutangana, DDS
- Dentist
- Reseda, CA
National Provider Identifier
1952018814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39013
- Practice address
- 18107 Sherman Way Ste 107
Reseda, CA 91335-8803 - Phone
- (818) 600-8920
- NPI assigned
- Oct 31, 2022
- Last updated
- Oct 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 39013 | TX | Primary |
Addresses
Primary practice location
18107 Sherman Way Ste 107
Reseda, CA 91335-8803
Mailing address
27320 Duxbury PL
Valencia, CA 91354-1929
Phone (323) 506-0966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39013 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1952018814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27320 DUXBURY PL",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913541929",
"telephone_number": "323-506-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18107 SHERMAN WAY STE 107",
"city": "RESEDA",
"state": "CA",
"postal_code": "913358803",
"telephone_number": "818-600-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UMUTANGANA",
"first_name": "GLORIA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-31",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "39013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.