Active NPI
Glenda Santa Maria, DDS
- General Practice Dentistry
- San Francisco, CA
National Provider Identifier
1760490999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 41677
- Practice address
- 760 La Playa St
San Francisco, CA 94121-3262 - Phone
- (415) 221-5592
- Fax
- (415) 221-8826
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 41677 | CA | Primary |
Addresses
Primary practice location
760 La Playa St
San Francisco, CA 94121-3262
Mailing address
368 Cerro CT
Daly City, CA 94015-4087
Phone (650) 991-1002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41677 | Other | CA | DENTAL LICENSE NUMBER |
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 |
|---|---|---|---|
| 41677 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lilya Vaismana Professional Dental Corp | General Practice | Past | Accepting new patients |
| Soltani Dental 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 and National Provider Directory roles.
-
- General Practice Dentistry
- San Francisco, CA
- NPI 1548278799
-
- Dental Clinic/Center
- San Francisco, CA
- NPI 1902334956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760490999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "368 CERRO CT",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940154087",
"telephone_number": "650-991-1002",
"fax_number": "415-221-8826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 LA PLAYA ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941213262",
"telephone_number": "415-221-5592",
"fax_number": "415-221-8826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTA MARIA",
"first_name": "GLENDA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "41677",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE NUMBER",
"identifier": "41677",
"state": "CA"
}
],
"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 Jul 8, 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.