Organization Active NPI

Luisa F Diaz DMD

  • Dentist
  • San Bruno, CA
National Provider Identifier
1427832963
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LUISA F DIAZ DMD
Doing business as
Bayhill Dental Care
Practice address
851 Cherry Ave Ste 36
San Bruno, CA 94066-2954
Phone
(650) 873-9500
Fax
(650) 873-7328
NPI assigned
Aug 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Gabriel N Diaz
Title
Office Manager
Phone
(650) 873-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

851 Cherry Ave Ste 36
San Bruno, CA 94066-2954

Mailing address

851 Cherry Ave Ste 36
San Bruno, CA 94066-2954
Phone (650) 873-9500

Other names 1

  • Bayhill Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

851 Cherry Ave
Ste 36
San Bruno, CA 94066
Phone (650) 873-9500

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1427832963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 CHERRY AVE STE 36",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662954",
            "telephone_number": "650-873-9500",
            "fax_number": "650-873-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 CHERRY AVE STE 36",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662954",
            "telephone_number": "650-873-9500",
            "fax_number": "650-873-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUISA F DIAZ DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "650-873-9500"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayhill Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bruno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.