Evangeline Morales Memoracion, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

56995 Issued in CA

Practice address

2340 McKee Rd Ste 23
San Jose, CA 95116-1615

Phone

(408) 937-8895

NPI assigned

Aug 30, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Evangeline M Memoracion

  • Dental Clinic/Center
  • San Jose, CA
  • NPI 1588523708
  NPD Authorized official

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

{
    "created_epoch": "1220054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775347200000",
    "number": "1184872350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 MCKEE RD STE 23",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161615",
            "telephone_number": "408-937-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 MCKEE RD STE 23",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161615",
            "telephone_number": "408-937-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMORACION",
        "first_name": "EVANGELINE",
        "middle_name": "MORALES",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-30",
        "last_updated": "2026-04-05",
        "certification_date": "2026-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Lynn Mellott, LMT
• Nicole Rebecca Melman
• Leticia Melo, DH
• Eleonore Jade Melon-Drahon
• Melvin S. Hsu Chiropractic Inc.
• Mariano Jervoso Mempin III, PTA
• Frank C Mems Jr.
• Lisa Mena
• Rudy Justin Mena
• Jacqueline Simone Menard, LCSW

• Dentist in San Jose, CA
• Providers in San Jose, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2026; 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.