Active NPI
Efraim Sanson Florendo, DDS
- Dentist
- Modesto, CA
National Provider Identifier
1023075322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 52389
- Practice address
- 2605 Coffee Rd
Modesto, CA 95055 - Phone
- (209) 521-0100
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 52389 | CA | Primary |
Addresses
Primary practice location
2605 Coffee Rd
Modesto, CA 95055
Mailing address
2605 Coffee Rd
Modesto, CA 95055
Phone (209) 521-0100
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1023075322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 COFFEE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "95055",
"telephone_number": "209-521-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 COFFEE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "95055",
"telephone_number": "209-521-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORENDO",
"first_name": "EFRAIM",
"middle_name": "SANSON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "52389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.