Hesperian Dental Group Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HESPERIAN DENTAL GROUP INC

Practice address

17760 Hesperian Blvd
San Lorenzo, CA 94580-3037

Phone

(510) 363-8826

Fax

(510) 363-8796

NPI assigned

Jan 24, 2024

Organization subpart

No

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

Authorized official

Name

Susan Galvan

Title

Administrator

Phone

(408) 627-1628

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1376305425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17760 HESPERIAN BLVD",
            "city": "SAN LORENZO",
            "state": "CA",
            "postal_code": "945803037",
            "telephone_number": "510-363-8826",
            "fax_number": "510-363-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17760 HESPERIAN BLVD",
            "city": "SAN LORENZO",
            "state": "CA",
            "postal_code": "945803037",
            "telephone_number": "510-363-8826",
            "fax_number": "510-363-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HESPERIAN DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "GALVAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "408-627-1628"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy A. Halio, MD
• Dennis A Hall, DDS
• Healing With Care Staffing-LLC
• Esperanza Hempel, LMT
• Alejandra M Herrera Jr.
• Kenneth Kon Hsu, D.D.S.
• Shuming Huang
• Monique Jacobo-Evans
• Jady Care Transport L.L.C.
• Neelam Jagtap

• Dental Clinic/Center in San Lorenzo, CA
• Providers in San Lorenzo, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.