Active NPI
Lerida Lipumano-Picazo DMD,a Professional Corporation
- Dentist
- San Mateo, CA
National Provider Identifier
1710367651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lerida Felizardo Lipumano-Picazo
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Dentistry
- San Mateo, CA
- NPI 1780899260
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.