Active NPI
Grace Mati Ochoa, DDS
- General Practice Dentistry
- Van Nuys, CA
National Provider Identifier
1992804454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DV038717
- Practice address
- 6411 Sepulveda Blvd
Suite Ib
Van Nuys, CA 91411-1304 - Phone
- (818) 781-6900
- Fax
- (818) 781-5368
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DV038717 | CA | Primary |
Addresses
Primary practice location
6411 Sepulveda Blvd
Suite Ib
Van Nuys, CA 91411-1304
Mailing address
6411 Sepulveda Blvd
Suite Ib
Van Nuys, CA 91411-1304
Phone (818) 781-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B38717-01 | Other | CA | DENTICAL |
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 |
|---|---|---|---|
| DV038717 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992804454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6411 SEPULVEDA BLVD",
"address_2": "SUITE IB",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914111304",
"telephone_number": "818-781-6900",
"fax_number": "818-781-5368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6411 SEPULVEDA BLVD",
"address_2": "SUITE IB",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914111304",
"telephone_number": "818-781-6900",
"fax_number": "818-781-5368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCHOA",
"first_name": "GRACE",
"middle_name": "MATI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DV038717",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL",
"identifier": "B38717-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- 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.