Exconde-Evangelista Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EXCONDE-EVANGELISTA DENTAL CORPORATION

Practice address

24901 Santa Clara St # B2
Hayward, CA 94544-2147

Phone

(510) 887-6835

Fax

(510) 887-2872

NPI assigned

Feb 12, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Ma Rosario Exconde, DDSNPI 1922196559

Title

Dentist

Phone

(415) 866-4318

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ma Rosario Gutierrez Exconde, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Vallejo, CA
  • NPI 1922196559
  NPD Authorized official

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1568928778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24901 SANTA CLARA ST # B2",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945442147",
            "telephone_number": "510-887-6835",
            "fax_number": "510-887-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24901 SANTA CLARA ST # B2",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945442147",
            "telephone_number": "510-887-6835",
            "fax_number": "510-887-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCONDE-EVANGELISTA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "EXCONDE",
        "authorized_official_first_name": "MA ROSARIO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "415-866-4318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Everix, PT
• Everside Health-Ca Ironworkers-Hayward
• Ana Kristel Ewart
• Ewch, Inc. (Eden West Convalescent Hospital)
• Aasiah Ewing
• Express Anesthesia Consultants PC
• Exxceed Wellness, Inc.
• F. Rene Van Carr,M.D. & Marion R Kramer,M.D. Inc
• Emelina M. Fa, MD
• Jose Juan Fabela

• Dental Clinic/Center in Hayward, CA
• Providers in Hayward, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.