San Carlos Endodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

38395 Issued in CA

Legal business name

SAN CARLOS ENDODONTICS

Practice address

1028 Laurel St
San Carlos, CA 94070-3919

Phone

(650) 595-3722

Fax

(650) 595-3636

NPI assigned

Sep 3, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lynne A Baldassari-Cruz, D.D.S.NPI 1629136015

Title

President

Phone

(650) 380-1337

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynne A Baldassari-Cruz, D.D.S.

  • Endodontics
  • San Carlos, CA
  • NPI 1629136015
  NPD (past) Authorized official

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1063846533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 EL CAMINO REAL",
            "address_2": "#622",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940255240",
            "telephone_number": "650-595-3722",
            "fax_number": "650-595-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 LAUREL ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703919",
            "telephone_number": "650-595-3722",
            "fax_number": "650-595-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN CARLOS ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "BALDASSARI-CRUZ",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-380-1337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "38395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Russo, MD
• Merle Saber, LMFT
• Sarina Mai Lee Safina, NP
• Shirley Salazar Cano
• Tania Salazar
• San Carlos Medical Center, Inc.
• San Mateo County
• Ubaldo F Sanchez, PH.D.
• Jessica Sanders
• Bianca J Sandoval

• Dental Clinic/Center in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.