Organization Active NPI

Baysac Dental Health 3580 California, PC

Doing business as Laurel Village Dental Loft

  • Dental Clinic/Center
  • San Francisco, CA
National Provider Identifier
1205556933
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BAYSAC DENTAL HEALTH 3580 CALIFORNIA, PC
Doing business as
Laurel Village Dental Loft
Practice address
3501 California St Ste 201
San Francisco, CA 94118-1743
Phone
(415) 563-2022
Fax
(844) 863-1211
NPI assigned
Sep 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Dr. Mary Anne Baysac, D.D.S.NPI 1699035444
Title
Owner
Phone
(415) 518-6425

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

3501 California St Ste 201
San Francisco, CA 94118-1743

Mailing address

3501 California St Ste 201
San Francisco, CA 94118-1743
Phone (415) 563-2022

Other names 1

  • Laurel Village Dental Loft Doing business as

National Provider Directory

National Provider Directory

Locations

3501 California St
Ste 201
San Francisco, CA 94118
Phone (415) 563-2022

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": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1205556933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 CALIFORNIA ST STE 201",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181743",
            "telephone_number": "415-563-2022",
            "fax_number": "844-863-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 CALIFORNIA ST STE 201",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181743",
            "telephone_number": "415-563-2022",
            "fax_number": "844-863-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSAC DENTAL HEALTH 3580 CALIFORNIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "BAYSAC",
        "authorized_official_first_name": "MARY ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-518-6425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Village Dental Loft",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.