Active NPI
Maria Gabrielle Esguerra Simpliciano, DDS
- Dentist
- Madera, CA
National Provider Identifier
1700656790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 109792
- Practice address
- 16645 Road 26
Madera, CA 93638-0830 - Phone
- (559) 664-4000
- NPI assigned
- Jan 2, 2024
- 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 | 109792 | CA | Primary |
Addresses
Primary practice location
16645 Road 26
Madera, CA 93638-0830
Mailing address
569 E Shelldrake Cir
Fresno, CA 93730-1232
Phone (206) 934-9283
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 |
|---|---|---|---|
| 109792 | CA | MD | Clinical Social Worker |
Interoperability endpoints
- maria.gabrielle.simpliciano.1@25900.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1700656790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "569 E SHELLDRAKE CIR",
"city": "FRESNO",
"state": "CA",
"postal_code": "937301232",
"telephone_number": "206-934-9283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16645 ROAD 26",
"city": "MADERA",
"state": "CA",
"postal_code": "936380830",
"telephone_number": "559-664-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPLICIANO",
"first_name": "MARIA GABRIELLE",
"middle_name": "ESGUERRA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-02",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "109792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.