NPIMap

Organization Active NPI

Coralinda M Handog DMD Inc

  • Dentist
  • San Leandro, CA
National Provider Identifier
1639206469
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38538 Issued in CA
Legal business name
CORALINDA M HANDOG DMD INC
Practice address
345 Estudillo Ave
Suite 208
San Leandro, CA 94577
Phone
(510) 483-5366
Fax
(510) 483-3235
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Coralinda M Handog, DENTISTNPI 1982091393
Title
President
Phone
(510) 483-5366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 38538 CA Primary

Addresses

Primary practice location

345 Estudillo Ave
Suite 208
San Leandro, CA 94577

Mailing address

345 Estudillo Ave
Suite 208
San Leandro, CA 94577
Phone (510) 483-5366

National Provider Directory

National Provider Directory

Locations

345 Estudillo Ave
Ste 208
San Leandro, CA 94577
Phone (510) 483-5366

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1639206469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 ESTUDILLO AVE",
            "address_2": "SUITE 208",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "94577",
            "telephone_number": "510-483-5366",
            "fax_number": "510-483-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 ESTUDILLO AVE",
            "address_2": "SUITE 208",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "94577",
            "telephone_number": "510-483-5366",
            "fax_number": "510-483-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORALINDA M HANDOG DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "HANDOG",
        "authorized_official_first_name": "CORALINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-483-5366",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.