Individual provider Active NPI

Francisco J. Pestana, D.M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • American Canyon, CA
National Provider Identifier
1639219306
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
47153 Issued in CA
Practice address
3429 Broadway St
Suite C1-C2
American Canyon, CA 94503-1230
Phone
(707) 980-7274
Fax
(707) 731-1885
NPI assigned
Feb 8, 2007
Last updated
Mar 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 47153 CA Primary

Addresses

Primary practice location

3429 Broadway St
Suite C1-C2
American Canyon, CA 94503-1230

Mailing address

3429 Broadway St
Suite C1-C2
American Canyon, CA 94503-1230
Phone (707) 980-7274

Other identifiers 1

IdentifierTypeStateIssuer
D47153OtherCADENTI-CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
47153CAMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Francisco J Pestana, DMD Past Accepting new patients
Jagdev Singh Heir,MD a Professional Corporation Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1639219306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 BROADWAY ST",
            "address_2": "SUITE C1-C2",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945031230",
            "telephone_number": "707-980-7274",
            "fax_number": "707-731-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 BROADWAY ST",
            "address_2": "SUITE C1-C2",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945031230",
            "telephone_number": "707-980-7274",
            "fax_number": "707-731-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESTANA",
        "first_name": "FRANCISCO",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "47153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "D47153",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in American Canyon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.