Individual provider Active NPI

Lerida Felizardo Lipumano-Picazo, DMD

  • Pediatric Dentistry
  • San Mateo, CA
National Provider Identifier
1780899260
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
40848 Issued in CA
Practice address
800 South B St.
Suite 200
San Mateo, CA 94401
Phone
(650) 343-0884
Fax
(650) 375-0231
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 40848 CA Primary

Addresses

Primary practice location

800 South B St.
Suite 200
San Mateo, CA 94401

Mailing address

1415 S El Camino Real Ste 2
San Mateo, CA 94402-3019
Phone (650) 343-0884

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250703001673 CA Practitioner - Dentist 7719223288 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40848CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Jun 30, 2025 Accepting new patients
Alameda Health System CurrentSince Jun 30, 2025 Accepting new patients
Alameda Health System Current Accepting new patients
Lerida Lipumano-Picazo DMD,a Professional Corporation Past Accepting new patients

Locations

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

7677 Oakport St
Ste 1200
Oakland, CA 94621
Phone (510) 618-5768

Interoperability endpoints

  • Direct secure messaging: llipumanopicazo49104@hisp.ehr.sutterhealth.org
  • Direct secure messaging: llipumanopicazo30622@direct-ucsfmedicalcenter.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1780899260",
    "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": "800 SOUTH B ST.",
            "address_2": "SUITE 200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94401",
            "telephone_number": "650-343-0884",
            "fax_number": "650-375-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPUMANO-PICAZO",
        "first_name": "LERIDA",
        "middle_name": "FELIZARDO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "40848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.