Organization Active NPI

Lerida Lipumano-Picazo DMD,a Professional Corporation

  • Dentist
  • San Mateo, CA
National Provider Identifier
1710367651
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LERIDA LIPUMANO-PICAZO DMD,A PROFESSIONAL CORPORATION
Doing business as
Trinity Dental Group
Practice address
1415 S El Camino Real Ste 2
San Mateo, CA 94402-3019
Phone
(650) 343-0884
Fax
(650) 375-0231
NPI assigned
Jun 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Lerida Felizardo Lipumano-PicazoNPI 1780899260
Title
DMD
Phone
(650) 343-0884

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: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1415 S El Camino Real Ste 2
San Mateo, CA 94402-3019

Mailing address

1415 S El Camino Real Ste 2
San Mateo, CA 94402-3019
Phone (650) 343-0884

Other names 1

  • Trinity Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

1415 S El Camino Real
#2
San Mateo, CA 94402
Phone (650) 343-0884

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": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1710367651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 S EL CAMINO REAL STE 2",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023019",
            "telephone_number": "650-343-0884",
            "fax_number": "650-375-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 S EL CAMINO REAL STE 2",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023019",
            "telephone_number": "650-343-0884",
            "fax_number": "650-375-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LERIDA LIPUMANO-PICAZO DMD,A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "LIPUMANO-PICAZO",
        "authorized_official_first_name": "LERIDA",
        "authorized_official_middle_name": "FELIZARDO",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "650-343-0884"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.