Elaine M. Cabreza, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

45555 Issued in CA

Practice address

2421 Park Blvd
Suite A204
Palo Alto, CA 94306-1998

Phone

(650) 328-1580

Fax

(650) 328-0775

NPI assigned

Feb 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023144011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 PARK BLVD",
            "address_2": "SUITE A204",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061998",
            "telephone_number": "650-328-1580",
            "fax_number": "650-328-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 PARK BLVD",
            "address_2": "SUITE A204",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061998",
            "telephone_number": "650-328-1580",
            "fax_number": "650-328-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABREZA",
        "first_name": "ELAINE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Byster, LMFT, NCC
• Marina Bystritsky, PH.D.
• Elodia Stefany Caballero
• Catherine Roe Straut Cable, MSN, BSN, RN, C-PNP
• Amanda Marie Cabrera
• Desiree Sherri Kehaulani Cadiz, O.D.
• Yasemin Nezihe Cagil, M.D.
• Heather Elizabeth Cahan, MD
• Jeanmarie Barry Cahill, MFT
• Elise Cai

• Dentist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.