Fernand Lacayanga, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

55563 Issued in CA

Practice address

5130 Stevens Creek Blvd
San Jose, CA 95129-1019

Phone

(702) 413-4071

Fax

(714) 571-3560

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dr. Fernand S. Lacayanga D.M.D Inc

  • Dental Clinic/Center
  • La Mesa, CA
  • NPI 1508552423
  NPD Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1780800151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6944 ARCADIA CREEK ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890843181",
            "telephone_number": "909-364-0030",
            "fax_number": "714-571-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 STEVENS CREEK BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951291019",
            "telephone_number": "702-413-4071",
            "fax_number": "714-571-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACAYANGA",
        "first_name": "FERNAND",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D55563",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Labban, M.D.
• Claire Laberge
• Maycee D'Lahn Labo
• Noemi Labrenz
• Samara Lacapa
• Iyshiah Lacey
• Jill Christine Lacher
• Corey Lacombe
• Jeremy Lacson
• Kristian Gonzales Lacson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.