Chona Sumagaysay Lardizabal, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56826 Issued in CA

Practice address

8935 San Ramon Rd
Dublin, CA 94568-1061

Phone

(925) 300-9559

Fax

(925) 524-2485

NPI assigned

Feb 20, 2008

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

State licenses

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1295903557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8935 SAN RAMON RD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945681061",
            "telephone_number": "925-300-9559",
            "fax_number": "925-524-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8935 SAN RAMON RD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945681061",
            "telephone_number": "925-300-9559",
            "fax_number": "925-524-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARDIZABAL",
        "first_name": "CHONA",
        "middle_name": "SUMAGAYSAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesiz Landeros
• Anastasia Landes
• Geri Ottaviano Landman, MD
• Patrice Lane, DDS
• Alexia Lao
• Thalea Largent
• Ariana Lassiter
• Lukas Lasyone, M.D., MPH&TM
• Joan Latham
• Catherine Jyngwan Lau, DDS

• General Practice Dentistry in Dublin, CA
• Providers in Dublin, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.