Oscar Ventanilla, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53885 Issued in CA

Practice address

1580 E Washington St
Suite # 105
Petaluma, CA 94954-3679

Phone

(707) 763-1959

Fax

(707) 763-6381

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952452609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2737",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949482737",
            "telephone_number": "707-763-1959",
            "fax_number": "707-763-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 E WASHINGTON ST",
            "address_2": "SUITE # 105",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949543679",
            "telephone_number": "707-763-1959",
            "fax_number": "707-763-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTANILLA",
        "first_name": "OSCAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "53885",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Velazquez Rodriguez
• Naomi Velazquez, HS
• Krystal Nicole Velez Farinacci
• Angela Velles
• Kaitlin Marie Venema, PHD
• Esabella Vera
• Verihealth Inc
• Kristin Verroulx
• Grace Isabel Victor
• Joshua Vidal

• General Practice Dentistry in Petaluma, CA
• Providers in Petaluma, 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 Jul 8, 2007; 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.