Maria Victoria Saberon Gueco, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

41611 Issued in CA

Practice address

1860 Alcatraz Ave
Berkeley, CA 94703-2715

Phone

(510) 280-6080

Fax

(510) 653-8698

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lifelong Medical Care

  • Family Medicine Physician
  • Rodeo, CA
  • NPI 1003289463
  NPD (past)
• Lifelong Medical Care

  • General Practice Dentistry
  • Berkeley, CA
  • NPI 1013913300
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1265582860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32709 MIRABELLA DR",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945878206",
            "telephone_number": "510-475-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 ALCATRAZ AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032715",
            "telephone_number": "510-280-6080",
            "fax_number": "510-653-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUECO",
        "first_name": "MARIA VICTORIA",
        "middle_name": "SABERON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leoma Rose Grundy, DOULA
• William M.a. Grundy III
• Sara Grunstein, LCSW
• Anthony Andrew Guarnieri
• David Michael Guarnieri, PSY.D.
• Maya Dalia Guendelman, PH.D.
• Sylvia Guendelman, PHD, LCSW
• Julie A Guerin, RN
• Guerisoli Dental Group Inc.
• Anna Michelle Guha, LMFT

• Dentist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.