Organization Active NPI

Dela Rama a&M Dental Corporation

  • Dental Clinic/Center
  • South San Francisco, CA
National Provider Identifier
1104419670
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DELA RAMA A&M DENTAL CORPORATION
Practice address
3540 Callan Blvd Ste 201
South San Francisco, CA 94080-5100
Phone
(650) 878-0651
NPI assigned
Feb 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Dr. Andrew Dela Rama, DDSNPI 1568680858
Title
Corp President
Phone
(650) 239-9627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3540 Callan Blvd Ste 201
South San Francisco, CA 94080-5100

Mailing address

120 S El Camino Real Ste 19
Millbrae, CA 94030-3133
Phone (650) 239-9627

Other practice location 1

120 S El Camino Real Ste 19
Millbrae, CA 94030-3133
Phone (650) 239-9627

National Provider Directory

National Provider Directory

Locations

120 S El Camino Real
Ste 19
Millbrae, CA 94030
Phone (650) 239-9627

3540 Callan Blvd
Ste 201
South San Francisco, CA 94080
Phone (650) 878-0651

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1104419670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S EL CAMINO REAL STE 19",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940303133",
            "telephone_number": "650-239-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 CALLAN BLVD STE 201",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805100",
            "telephone_number": "650-878-0651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 S El Camino Real Ste 19",
            "address_purpose": "LOCATION",
            "city": "Millbrae",
            "state": "CA",
            "postal_code": "940303133",
            "country_code": "US",
            "telephone_number": "650-239-9627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DELA RAMA A&M DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "DELA RAMA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CORP PRESIDENT",
        "authorized_official_telephone_number": "650-239-9627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.