Marvin S Kobori DDS a PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MARVIN S KOBORI DDS A PC

Practice address

1031 Terra Nova Blvd
Pacifica, CA 94044-4308

Phone

(650) 359-1463

Fax

(650) 359-4489

NPI assigned

May 26, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Marvin Sadao Kobori, DDSNPI 1477500908

Title

President

Phone

(650) 359-1463

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marvin Sadao Kobori, DDS

  • Dentist
  • Pacifica, CA
  • NPI 1477500908
  NPD Authorized official
• Devin Jordan Lopez, DDS

  • Dentist
  • Pacifica, CA
  • NPI 1699107987
  NPD (past)

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1417485004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 TERRA NOVA BLVD",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940444308",
            "telephone_number": "650-359-1463",
            "fax_number": "650-359-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 TERRA NOVA BLVD",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940444308",
            "telephone_number": "650-359-1463",
            "fax_number": "650-359-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN S KOBORI DDS A PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOBORI",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "SADAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-359-1463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Mahoney, MFT
• Linda J Malone, MA, RAS
• Michelle Manfredi-Gunderson
• Felcynth May Destura Marquez, NP, CNS, RN
• Lauren Martin, M.ED., BCBA
• Oksana Maslyanchuk, ULTRASOUND TECH
• Jeffrey Michael Matthews, PT
• Stephanie May, BA, LMT, CPT
• Mayhem Unity Limited Liabilty Company
• Charlotte McCall, LCSW

• Dentist in Pacifica, CA
• Providers in Pacifica, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.