Maria Angeles Racelis, D.M.D., a Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MARIA ANGELES RACELIS, D.M.D., A DENTAL CORPORATION

Practice address

2415 San Pablo Dam Rd Ste 108
San Pablo, CA 94806-3947

Phone

(510) 237-4680

Fax

(510) 237-5619

NPI assigned

Oct 5, 2016

Last updated

Oct 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maria Angeles Racelis, D.M.D.NPI 1871680843

Title

President

Phone

(510) 237-4680

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Angeles Racelis, D.M.D.

  • General Practice Dentistry
  • San Pablo, CA
  • NPI 1871680843
  NPD (past) Authorized official

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1538619259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 SAN PABLO DAM RD STE 108",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063947",
            "telephone_number": "510-237-4680",
            "fax_number": "510-237-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 SAN PABLO DAM RD STE 108",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063947",
            "telephone_number": "510-237-4680",
            "fax_number": "510-237-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA ANGELES RACELIS, D.M.D., A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "RACELIS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ANGELES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-237-4680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Estanislao Manalo
• Nsulu Mandiangu, R.N.
• Michael Manekin-Hrdy, ASW #33892
• Gary B. Marcus, M.D.
• Emily Margalit, M.A.
• Janine Simone Martin
• Lenora Mason, SUDRC
• Sandrine Masseron-Tiller
• Lucy Rhu Massey
• Karla Kristel Mata

• General Practice Dentistry in San Pablo, CA
• Providers in San Pablo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.