Individual provider Active NPI

Francisco Ammagauan Mabbayad, DMD

  • Dentist
  • Sunnyvale, CA
National Provider Identifier
1174602379
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47941 Issued in CA
Practice address
1117 Tasman Dr
Sunnyvale, CA 94089
Phone
(408) 752-0684
Fax
(408) 752-0686
NPI assigned
Nov 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 47941 CA Primary

Addresses

Primary practice location

1117 Tasman Dr
Sunnyvale, CA 94089

Mailing address

1117 Tasman Dr
Sunnyvale, CA 94089
Phone (408) 752-0684

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

State licenses

LicenseStateTypeSpecialty
47941CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
San Pablo Dental Management Inc Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174602379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 TASMAN DR",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "94089",
            "telephone_number": "408-752-0684",
            "fax_number": "408-752-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 TASMAN DR",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "94089",
            "telephone_number": "408-752-0684",
            "fax_number": "408-752-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABBAYAD",
        "first_name": "FRANCISCO",
        "middle_name": "AMMAGAUAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "47941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.