Individual provider Active NPI

Jane Dayoan Valde, DDS

  • General Practice Dentistry
  • San Mateo, CA
National Provider Identifier
1427243781
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44794 Issued in CA
Practice address
3455 Pacific Blvd
San Mateo, CA 94403-2836
Phone
(650) 571-9300
Fax
(650) 571-8890
NPI assigned
Sep 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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 44794 CA Primary

Addresses

Primary practice location

3455 Pacific Blvd
San Mateo, CA 94403-2836

Mailing address

3455 Pacific Blvd
San Mateo, CA 94403-2836
Phone (650) 571-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1427243781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 PACIFIC BLVD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032836",
            "telephone_number": "650-571-9300",
            "fax_number": "650-571-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 PACIFIC BLVD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032836",
            "telephone_number": "650-571-9300",
            "fax_number": "650-571-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDE",
        "first_name": "JANE",
        "middle_name": "DAYOAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.