Renee Ann Sarno Tabiolo, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41682 Issued in CA

Practice address

2340 McKee Rd
#23
San Jose, CA 95116-1615

Phone

(408) 259-1053

Fax

(408) 259-0115

NPI assigned

May 30, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386845105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 MCKEE RD",
            "address_2": "#23",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161615",
            "telephone_number": "408-259-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 MCKEE RD",
            "address_2": "#23",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161615",
            "telephone_number": "408-259-1053",
            "fax_number": "408-259-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABIOLO",
        "first_name": "RENEE ANN",
        "middle_name": "SARNO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Tabboga
• Cristina Atienza Tabboga
• Shannen Tabboga
• Zildjian Tabboga
• Raymond Tabibiazar, M.D.
• Kassandra Anne Tablan
• Shirley Taboada, LCSW
• Tyler Taboada
• Jasmin Tacuba
• Nicole Taculog

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, 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 Jul 8, 2007; 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.