Active NPI
Maritza Juana Merejo
- Dentist
- San Francisco, CA
National Provider Identifier
1700078599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 56116
- Practice address
- 490 Post St Suite 808
San Francisco, CA 94102 - Phone
- (415) 781-2290
- NPI assigned
- Aug 15, 2007
- Last updated
- Aug 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 56116 | CA | Primary |
Addresses
Primary practice location
490 Post St Suite 808
San Francisco, CA 94102
Mailing address
825 Post Street Apt 122
San Francisco, CA 94109
Phone (415) 441-5006
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56116 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187136000000",
"number": "1700078599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 POST STREET APT 122",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94109",
"telephone_number": "415-441-5006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 POST ST SUITE 808",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94102",
"telephone_number": "415-781-2290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEREJO",
"first_name": "MARITZA",
"middle_name": "JUANA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-15",
"last_updated": "2007-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.