Maura Kathleen Pezzulla, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

14015702-9926 Issued in UT

Practice address

2841 Rendova Rd
San Diego, CA 92155-1098

Phone

(760) 214-6978

NPI assigned

Jul 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1780412072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 OLIVER AVE APT B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095164",
            "telephone_number": "443-834-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 RENDOVA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921551098",
            "telephone_number": "760-214-6978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 Craven St Bldg 3230",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921361098",
            "country_code": "US",
            "telephone_number": "619-556-8240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEZZULLA",
        "first_name": "MAURA",
        "middle_name": "KATHLEEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "14015702-9926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Peviani, DAOM
• Hallie Aileen Pewthers, PA
• Michael Peyer
• Dominik Francessa Peyton
• Maryam Kherad Pezhouh, M.D.
• Marian Marie Pezzuti, RN
• Arlene Pfaff, RN, PHN
• Heidi Astrid Pfaff, CNM
• Blaise S Pfaffmann, AUD
• Kenzi Louise Pfeifer, OTR/L

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.