NPIMap

Organization Active NPI

Sylvie M Galerneau, DMD

  • Dentist
  • San Mateo, CA
National Provider Identifier
1780739086
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
33766 Issued in CA
Legal business name
SYLVIE M GALERNEAU, DMD
Practice address
100 S Ellsworth Ave
Suite 601
San Mateo, CA 94401-3939
Phone
(650) 342-9941
Fax
(650) 342-9545
NPI assigned
Jan 24, 2007
Last updated
Apr 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Sylvie Galerneau, DMDNPI 1417220898
Title
Doctor
Phone
(650) 342-9941

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
Dentist 122300000X 33766 CA Primary

Addresses

Primary practice location

100 S Ellsworth Ave
Suite 601
San Mateo, CA 94401-3939

Mailing address

100 S Ellsworth Ave
Suite 601
San Mateo, CA 94401-3939
Phone (650) 342-9941

Other identifiers 1

IdentifierTypeStateIssuer
100276OtherCAUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

100 S Ellsworth Ave
Ste 601
San Mateo, CA 94401
Phone (650) 342-9941

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1780739086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S ELLSWORTH AVE",
            "address_2": "SUITE 601",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013939",
            "telephone_number": "650-342-9941",
            "fax_number": "650-342-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S ELLSWORTH AVE",
            "address_2": "SUITE 601",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013939",
            "telephone_number": "650-342-9941",
            "fax_number": "650-342-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVIE M GALERNEAU, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "GALERNEAU",
        "authorized_official_first_name": "SYLVIE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "650-342-9941",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "33766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "100276",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 24, 2012; 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.