Individual provider Active NPI

Maria Corazon Manaloto, DDS

  • Dentist
  • Alameda, CA
National Provider Identifier
1467568352
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41277 Issued in CA
Practice address
2215 Santa Clara Ave
Alameda, CA 94501
Phone
(510) 521-0420
Fax
(510) 865-1179
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 41277 CA Primary

Addresses

Primary practice location

2215 Santa Clara Ave
Alameda, CA 94501

Mailing address

2215 Santa Clara Ave
Alameda, CA 94501
Phone (510) 521-0420

Other names 1

  • Corazon Bautista Manaloto Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 11, 2016 through May 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Leong Dental PC PastSince Mar 20, 2022 Accepting new patients
Corazon B. Manaloto DDS Inc. Past Accepting new patients
Wadie Dughman, DMD, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467568352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 SANTA CLARA AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "94501",
            "telephone_number": "510-521-0420",
            "fax_number": "510-865-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 SANTA CLARA AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "94501",
            "telephone_number": "510-521-0420",
            "fax_number": "510-865-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALOTO",
        "first_name": "MARIA",
        "middle_name": "CORAZON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORAZON",
            "last_name": "MANALOTO",
            "middle_name": "BAUTISTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.