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UCLA VENICE CLINICAL
NPI 1932253184
Dentist - General Practice in Venice, CA

Active since January 23, 2007
323 LINCOLN BLVD, VENICE, CA 90291(310) 392-4103(310) 392-8513 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ucla Venice Clinical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UCLA VENICE CLINICAL (NPI 1932253184) is a healthcare organization registered as a general practice in Venice, California and active in the NPI registry since January 2007. The organization lists John Yamamanto, Clenal Director, as its authorized official.

NPPES Registry Identity

NPI1932253184
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameUCLA VENICE CLINICAL
Location Address323 LINCOLN BLVDVenice, CA 90291-2842
Mailing Address323 Lincoln BlvdVenice, CA 90291-2842 · (310) 392-4103 · Fax (310) 392-8513
Phone(310) 392-4103
Fax(310) 392-8513
Organization SubpartNo
Authorized OfficialJohn YamamantoClenal Director · (310) 392-4103
Enumeration DateJanuary 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1932253184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · D40407
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
323 LINCOLN BLVD, Venice, CA 90291
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Other Identifiers 1

MedicaidUO1004CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUBANA MASOOD DDS
Dentist (General Practice)
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 392-4103
GOLARA KHANDAN DMD
Student in an Organized Health Care Education/Training Program
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 827-8959
UCLA VENICE DENTAL CENTER
Clinic/Center (Dental)
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 392-4103
DR. MARIO BRADFORD ANTONIONI D.D.S.
Student in an Organized Health Care Education/Training Program
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 392-4103
DR. ALIZA AMSELLEM DDS
Dentist
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 392-4103
DR. BERNICE TAN KO
Dentist (Endodontics)
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 392-4103
DR. JOHN MICHAEL YAMAMOTO D.D.S., M.P.H.
Dentist (Dental Public Health)
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 392-4103
CARLETTA ANNYSE DEMETREE DDS
Dentist
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 392-4103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ucla Venice Clinical's NPI number?

The NPI number for Ucla Venice Clinical is 1932253184. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Ucla Venice Clinical located?

Ucla Venice Clinical is located at 323 Lincoln Blvd, Venice, CA 90291. The listed phone number is (310) 392-4103.

What is Ucla Venice Clinical's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ucla Venice Clinical was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.