Organization Active NPI

Lara-Gimaldi Dental

  • Dental Clinic/Center
  • San Francisco, CA
National Provider Identifier
1255136610
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LARA-GIMALDI DENTAL
Practice address
2674 Ocean Ave
San Francisco, CA 94132-1630
Phone
(415) 346-2900
NPI assigned
Feb 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Fabiola Lara, DDSNPI 1124296884
Title
Dentist
Phone
(415) 346-2900

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

2674 Ocean Ave
San Francisco, CA 94132-1630

Mailing address

2674 Ocean Ave
San Francisco, CA 94132-1630
Phone (415) 346-2900

National Provider Directory

National Provider Directory

Locations

2674 Ocean Ave
San Francisco, CA 94132
Phone (415) 346-2900

Practitioners & affiliated clinicians

Practitioners 1

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": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1255136610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2674 OCEAN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321630",
            "telephone_number": "415-346-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2674 OCEAN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321630",
            "telephone_number": "415-346-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARA-GIMALDI DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "FABIOLA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "415-346-2900",
        "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 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 18, 2025; 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.