Active NPI
Maria Luisa B. Santos,DMD, Inc
- Dentist
- San Bruno, CA
National Provider Identifier
1538577663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- MARIA LUISA B. SANTOS,DMD, INC
- Practice address
- 1001 San Bruno Ave W
San Bruno, CA 94066-3318 - Phone
- (650) 873-4740
- Fax
- (650) 873-3179
- NPI assigned
- Aug 1, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maria Luisa Bugarin Santos, D.M.D
- Title
- Ceo/Dentist
- Phone
- (650) 873-4740
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
1001 San Bruno Ave W
San Bruno, CA 94066-3318
Mailing address
1001 San Bruno Ave W
San Bruno, CA 94066-3318
Phone (650) 873-4740
Other names 1
- SAN BRUNO DENTAL CENTER
National Provider Directory
National Provider DirectoryLocations
1001 San Bruno Ave W
San Bruno, CA 94066
Phone (650) 873-4740
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- San Bruno, CA
- NPI 1487862900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406851200000",
"number": "1538577663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SAN BRUNO AVE W",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940663318",
"telephone_number": "650-873-4740",
"fax_number": "650-873-3179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SAN BRUNO AVE W",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940663318",
"telephone_number": "650-873-4740",
"fax_number": "650-873-3179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIA LUISA B. SANTOS,DMD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-01",
"last_updated": "2014-08-01",
"status": "A",
"authorized_official_last_name": "SANTOS",
"authorized_official_first_name": "MARIA LUISA",
"authorized_official_middle_name": "BUGARIN",
"authorized_official_title_or_position": "CEO/DENTIST",
"authorized_official_telephone_number": "650-873-4740",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SAN BRUNO DENTAL CENTER",
"code": "5",
"type": "Other Name"
}
]
}
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 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.