Active NPI
DRS. Mazzetti's Office
- General Practice Dentistry
- South San Francisco, CA
National Provider Identifier
1366571952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 41477
- Legal business name
- DRS. MAZZETTI'S OFFICE
- Practice address
- 1131 Mission Rd
South San Francisco, CA 94080-1302 - Phone
- (650) 588-1501
- Fax
- (650) 588-2517
- NPI assigned
- Mar 2, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert John Mazzetti, D.D.S.
- Title
- Dentist
- Phone
- (650) 588-1501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 41477 | CA | Primary |
Addresses
Primary practice location
1131 Mission Rd
South San Francisco, CA 94080-1302
Mailing address
1131 Mission Rd
South San Francisco, CA 94080-1302
Phone (650) 588-1501
National Provider Directory
National Provider Directory- Tax ID family
- DRS Mazzetti's Office
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Palo Alto, CA
- NPI 1568591600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1366571952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 MISSION RD",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940801302",
"telephone_number": "650-588-1501",
"fax_number": "650-588-2517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 MISSION RD",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940801302",
"telephone_number": "650-588-1501",
"fax_number": "650-588-2517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS. MAZZETTI'S OFFICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MAZZETTI",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "650-588-1501",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "41477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.