VIVEK SHETTY


Address: 10833 Le Conte Ave, Suite Ao-156, Los Angeles, CA 90095-1668
Phone: 3108250834

VIVEK SHETTY (NPI# 1851417737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851417737
Entity Type Individual
Full Name VIVEK SHETTY
Credential DDS, DR.MED.DENT.
Practice Address 10833 Le Conte Ave
Suite Ao-156
Los Angeles
CA 90095-1668
Mailing Address 5767 W Century Blvd
Suite 400
Los Angeles
CA 90045-5631
Practice Telephone 3108250834
Mailing Telephone 3108250834
Enumeration Date 2007-03-22
Last Update Date 2015-01-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204E00000X Oral & Maxillofacial Surgery 41040 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 10833 LE CONTE AVE
SUITE AO-156
City LOS ANGELES
State CA
Zip Code 90095-1668

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598761942 Dennis Goldfinger Specialist 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2005-06-21
1972129427 Matthew Joseph Heinz Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-06-21
1255955803 Airton D Soares Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-05-29
1073137626 Gonzalo Nicolas Olaverria Salavaggione Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-05-29
1780204990 Maira Hinojosa Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-04-17
1053930537 Jeong Min Kim Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-04-14
1972122778 Mojan Mirnia Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-04-11
1902435779 Kaitlin Elizabeth Fusco Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-04-03
1487283313 Jonathan Douglas Gatto Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-04-02
1578191839 Abhishek Venkataramana Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-1430 2020-03-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982212155 Alexandra Gubin Social Worker Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 2020-07-14
1952926263 Georgina Parra Student in an Organized Health Care Education/Training Program 10833 Le Conteave, Los Angeles, CA 90095 2020-06-11
1609403575 Yagmur Muftuoglu Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 2020-03-23
1619438173 Brandon Covington Smith Student in an Organized Health Care Education/Training Program 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 2019-03-27
1184184913 Alexander Daniel Yuen Student in an Organized Health Care Education/Training Program 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 2019-03-19
1790266369 Dana Saifan Student in an Organized Health Care Education/Training Program 1000 Veteran Avenue, Los Angeles, CA 90095 2018-08-22
1427549146 Courtney Renee' Real Registered Nurse 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 2018-05-29
1932605094 Akash Atul Shah Student in an Organized Health Care Education/Training Program Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 2018-04-05
1316443435 Dane Jensen Brodke Orthopaedic Surgery 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 2018-04-05
1477058824 Thomas William Gaither Castellanos Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Urology, Los Angeles, CA 90095 2018-03-28
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Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871810846 Nam Cho Oral & Maxillofacial Surgery 4040 Via Marisol, #220, Los Angeles, CA 90042-5154 2010-04-29
1679709075 Steven Kupferman Dmd Md Inc Oral & Maxillofacial Surgery 2080 Century Park East Blvd, Suite 710, Los Angeles, CA 90067 2009-06-01
1851392062 Rick Chien Chi Tsay Oral & Maxillofacial Surgery 10811 Ashton Ave, #308, Los Angeles, CA 90024-4878 2005-08-10
1780902536 Soroush Zaghi Oral & Maxillofacial Surgery 10921 Wilshire Blvd, Suite 912, Los Angeles, CA 90024-3906 2010-05-04
1568698843 Omar M Faridi Oral & Maxillofacial Surgery 1200 N State St, Ct A3c 117, Los Angeles, CA 90033-1029 2009-06-01
1588790307 Richard D Leathers Oral & Maxillofacial Surgery 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2007-02-26
1346359973 Frederick C Rutherford Oral & Maxillofacial Surgery 12021 S. Wilmington Ave, Los Angeles, CA 90059 2006-08-29
1619084985 Joseph Mcquirter Sr. Oral & Maxillofacial Surgery 12021 S. Wilmington Ave, Los Angeles, CA 90059 2006-08-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457983025 Olena Norris Dds Dental Corporation Oral & Maxillofacial Surgery 5060 California Ave Ste 202, Bakersfield, CA 93309-7087 2020-02-11
1306498829 Henry Mayo Newhall Clinics, LLC Oral & Maxillofacial Surgery 25751 Mcbean Pkwy Ste 220, Valencia, CA 91355-3701 2019-07-15
1396211926 Fremont Oral & Maxillofacial Surgery Oral & Maxillofacial Surgery 39210 State St Ste 115, Fremont, CA 94538-1456 2018-10-22
1013495985 Ned L. Nix, Dds, Inc Oral & Maxillofacial Surgery 704 Blossom Hill Rd Ste 102, San Jose, CA 95123-5403 2018-08-02
1811475759 University of California Sfgh Medical Group Oral & Maxillofacial Surgery 1001 Potrero Avenue, Bldg 5, Room 1n1, San Francisco, CA 94110-3518 2018-08-02
1235649690 Mac Dental Corporation Oral & Maxillofacial Surgery 9855 Erma Road, #110, Scripps Periodontics, San Diego, CA 92131 2017-10-11
1710354162 Michael J. Belton Dds,md Inc. Oral & Maxillofacial Surgery 2045 Compton Ave Ste 102, Corona, CA 92881-7293 2015-09-01
1508263740 F.a.c.e. Surgical Center of The Desert Oral & Maxillofacial Surgery 1900 E Tahquitz Canyon Way Ste C4, Palm Springs, CA 92262-7062 2014-12-03
1407114499 Niloofar Deyhim Oral & Maxillofacial Surgery 853 Middlefield Rd Ste 1, Palo Alto, CA 94301-2900 2012-04-26
1437479144 Brian Robert Carr Oral & Maxillofacial Surgery 521 Parnassus Ave # C-522, San Francisco, CA 94143-0440 2010-06-03
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Competitor

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City LOS ANGELES
Zip Code 90095

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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