Maria Venus Membrere Obando, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49962 Issued in CA

Practice address

2023 Beverly Blvd
Los Angeles, CA 90057-2417

Phone

(213) 353-9930

Fax

(213) 353-0990

NPI assigned

Apr 11, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Celia P. Octoman, DMD, Inc.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1750431516
  NPD (past)
• Venus M Obando Inc.

  • General Practice Dentistry
  • Glendale, CA
  • NPI 1811408958
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1992928642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 E LOMITA AVE APT 210",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051857",
            "telephone_number": "818-613-2680",
            "fax_number": "818-247-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572417",
            "telephone_number": "213-353-9930",
            "fax_number": "213-353-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBANDO",
        "first_name": "MARIA VENUS",
        "middle_name": "MEMBRERE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberlie M Oatts
• Irene Diane Oaxaca, R.N.
• Kevin Hofilena Obana, DDS
• Oband Medical Group, Inc.
• Glenda Y Obando
• Osagie Obanor
• Carmen Obasi
• Hannah Obasi
• Lisa Ugoma Obasi, MD
• Benilda Buenaventura Obasohan, DPT

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 20, 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.