Individual provider Active NPI

Annie Maria Francisco, D.M.D.

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1366510562
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46795 Issued in CA
Practice address
1660 Broadway
Suite #4
Chula Vista, CA 91911-4856
Phone
(619) 420-8279
Fax
(619) 420-8287
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 46795 CA Primary

Addresses

Primary practice location

1660 Broadway
Suite #4
Chula Vista, CA 91911-4856

Mailing address

1660 Broadway
Ste 4
Chula Vista, CA 91911-4895
Phone (619) 420-8279

Other names 1

  • Maria Angelina Francisco Sumbad Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160513001522 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2961791942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1366510562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 BROADWAY",
            "address_2": "STE 4",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919114895",
            "telephone_number": "619-420-8279",
            "fax_number": "619-420-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 BROADWAY",
            "address_2": "SUITE #4",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919114856",
            "telephone_number": "619-420-8279",
            "fax_number": "619-420-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCISCO",
        "first_name": "ANNIE",
        "middle_name": "MARIA",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA ANGELINA",
            "last_name": "SUMBAD",
            "middle_name": "FRANCISCO",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.