Michael Oran Bambico, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

35593 Issued in CA

Practice address

150 N Jackson Ave
Suite # 103
San Jose, CA 95116-1908

Phone

(408) 259-1004

Fax

(408) 347-1695

NPI assigned

Apr 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lori Chung Cho DMD Inc.

  • Dental Clinic/Center
  • San Jose, CA
  • NPI 1821570102
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1427277342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4177 HIDDEN VALLEY LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951272530",
            "telephone_number": "408-923-3850",
            "fax_number": "408-347-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N JACKSON AVE",
            "address_2": "SUITE # 103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161908",
            "telephone_number": "408-259-1004",
            "fax_number": "408-347-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMBICO",
        "first_name": "MICHAEL",
        "middle_name": "ORAN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "35593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORP FEIN",
            "identifier": "263428495",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER STATE ID",
            "identifier": "35576032",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeri Lynn Balsley
• Maragadham Balu, M.D.
• Maria Balus
• Brian Baluyot
• Aurea Balverde
• Navdeep Bamrah, NP
• Ban H. Huynh O.D. Inc.
• Hideyuki Ban, D.C.
• Michaela B Banagan, NP
• Sarah Banayat

• Dentist in San Jose, CA
• Providers in San Jose, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.