Vijeta Krishnamoorthy, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DDS101280 Issued in CA

Practice address

23111 Ventura Blvd Ste 204
Woodland Hills, CA 91364-1160

Phone

(818) 225-1630

NPI assigned

Jul 14, 2017

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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

• Melina Dental, PC

  • Dentist
  • Westlake Village, CA
  • NPI 1265117816
  NPD
• Shahram Hosseini DDS, Inc.

  • Exclusive Provider Organization
  • Woodland Hills, CA
  • NPI 1205106242
  NPD (past)
• Shahram Hosseini, DDS, Inc.

  • Dentist
  • Westlake Village, CA
  • NPI 1316139843
  NPD (past)

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1972025518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 PARKVIEW CT",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930658200",
            "telephone_number": "559-287-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23111 VENTURA BLVD STE 204",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641160",
            "telephone_number": "818-225-1630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 S Westlake Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913611990",
            "country_code": "US",
            "telephone_number": "805-495-7212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "714 Tiverton Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900958361",
            "country_code": "US",
            "telephone_number": "310-825-9295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4149 Tweedy Blvd Ste J",
            "address_purpose": "LOCATION",
            "city": "South Gate",
            "state": "CA",
            "postal_code": "902806167",
            "country_code": "US",
            "telephone_number": "323-567-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10833 Le Conte Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900958361",
            "country_code": "US",
            "telephone_number": "310-825-9295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISHNAMOORTHY",
        "first_name": "VIJETA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS101280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DDS101280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A. Krecker, MD
• Raina Krell
• Ava L Kretschmar
• Cipora Kricun
• Ruth Kriegel
• Destiny Krismer
• Kristine Mbamalu Nurse Practitioner and Nursing Services Inc
• Abby Krom, LMFT
• Kade Kruger
• Danielle Krupnik

• Dentist in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.