Active NPI
Ma. Yolanda Alonzo Caboboy, D.D.S.
- Dentist
- Pinole, CA
National Provider Identifier
1811057672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 50892
- Practice address
- 610 San Pablo Ave Ste G
Pinole, CA 94564-2697 - Phone
- (510) 734-6362
- NPI assigned
- Dec 11, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 50892 | CA | Primary |
Addresses
Primary practice location
610 San Pablo Ave Ste G
Pinole, CA 94564-2697
Mailing address
372 Felice Cir
Pinole, CA 94564-6210
Phone (510) 734-6362
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 |
|---|---|---|---|
| 50892 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1811057672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "372 FELICE CIR",
"city": "PINOLE",
"state": "CA",
"postal_code": "945646210",
"telephone_number": "510-734-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 SAN PABLO AVE STE G",
"city": "PINOLE",
"state": "CA",
"postal_code": "945642697",
"telephone_number": "510-734-6362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABOBOY",
"first_name": "MA. YOLANDA",
"middle_name": "ALONZO",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "50892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinole, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.