OrganizationActive
San Fernando Dental Center
NPI 1568784569 · General Practice Dentistry · San Fernando, CA
San Fernando Dental Center is a General Practice Dentistry organization in San Fernando, CA (NPI 1568784569).
Provider details
- NPI number
- 1568784569
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Larry Ferguson, Business Manager(818) 365-6321
- License
- 24826 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
125 S Brand Blvd
San Fernando, CA 91340-3304
Phone: (818) 365-6321
Fax: (818) 365-0011
Street-level locationGet directions
Mailing address
125 S Brand Blvd
San Fernando, CA 91340-3304
Other names (DBA / former)
- Doing business as
- Dr Jerry B Malleus
Registry dates
- Enumerated
- 2010-02-18
- Last updated
- 2010-02-18
Frequently asked questions
- What is San Fernando Dental Center's NPI number?
- San Fernando Dental Center's National Provider Identifier (NPI) is 1568784569, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Fernando Dental Center?
- San Fernando Dental Center is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is San Fernando Dental Center located?
- San Fernando Dental Center's practice location on file with NPPES is 125 S Brand Blvd, San Fernando, CA 91340-3304.
- What is San Fernando Dental Center's phone number?
- The practice phone number listed in the NPPES registry for San Fernando Dental Center is (818) 365-6321.
- Who is the authorized official for San Fernando Dental Center?
- The authorized official listed on San Fernando Dental Center's NPPES record is Larry Ferguson, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Fernando Dental Center's NPI active?
- Yes — San Fernando Dental Center's NPI (1568784569) is active in the NPPES registry as of the last update on 2010-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.