NPIMap

Organization Active NPI

Corazon B. Manaloto DDS Inc.

  • Dental Clinic/Center
  • Alameda, CA
National Provider Identifier
1629300595
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
41277 Issued in CA
Legal business name
CORAZON B. MANALOTO DDS INC.
Practice address
2651 Blanding Ave
Suite L
Alameda, CA 94501-1580
Phone
(510) 521-0420
Fax
(510) 521-2503
NPI assigned
Feb 3, 2010
Last updated
Feb 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Dr. Corazon B. Manaloto, D.D.S.
Title
President
Phone
(510) 521-0420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 41277 CA Primary

Addresses

Primary practice location

2651 Blanding Ave
Suite L
Alameda, CA 94501-1580

Mailing address

2651 Blanding Ave
Suite L
Alameda, CA 94501-1580
Phone (510) 521-0420

National Provider Directory

National Provider Directory

Locations

2651 Blanding Ave
Ste L
Alameda, CA 94501
Phone (510) 521-0420

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1629300595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 BLANDING AVE",
            "address_2": "SUITE L",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011580",
            "telephone_number": "510-521-0420",
            "fax_number": "510-521-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 BLANDING AVE",
            "address_2": "SUITE L",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011580",
            "telephone_number": "510-521-0420",
            "fax_number": "510-521-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAZON B. MANALOTO DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "MANALOTO",
        "authorized_official_first_name": "CORAZON",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-521-0420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "41277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.