Individual provider Active NPI

Patricia Antoinette Palmeri-Maffei, D.D.S.

  • General Practice Dentistry
  • San Leandro, CA
National Provider Identifier
1457460347
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38577 Issued in CA
Practice address
15255 Hesperian Blvd
San Leandro, CA 94578-3929
Phone
(510) 481-8080
Fax
(510) 481-8098
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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 38577 CA Primary

Addresses

Primary practice location

15255 Hesperian Blvd
San Leandro, CA 94578-3929

Mailing address

15255 Hesperian Blvd
San Leandro, CA 94578-3929
Phone (510) 481-8080

Other names 1

  • Dr. Trish Antoinette Palmeri-Maffei Professional name

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

State licenses

LicenseStateTypeSpecialty
38577CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1457460347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15255 HESPERIAN BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783929",
            "telephone_number": "510-481-8080",
            "fax_number": "510-481-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 HESPERIAN BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783929",
            "telephone_number": "510-481-8080",
            "fax_number": "510-481-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMERI-MAFFEI",
        "first_name": "PATRICIA",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISH",
            "last_name": "PALMERI-MAFFEI",
            "middle_name": "ANTOINETTE",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.