NPIMap

Organization Active NPI

Maria Esperanza Labao DDS Inc

  • Dentist
  • San Bruno, CA
National Provider Identifier
1821124603
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46853 Issued in CA
Legal business name
MARIA ESPERANZA LABAO DDS INC
Practice address
1590 El Camino Real
Suite a
San Bruno, CA 94066
Phone
(650) 873-6798
Fax
(650) 873-6643
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Authorized official

Name
Dr. Maria Esperanza Labao, DDSNPI 1841663598
Title
Owner Dentist
Phone
(650) 873-6798

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 46853 CA Primary

Addresses

Primary practice location

1590 El Camino Real
Suite a
San Bruno, CA 94066

Mailing address

1590 El Camino Real
Suite a
San Bruno, CA 94066
Phone (650) 873-6798

Other identifiers 1

IdentifierTypeStateIssuer
B4685301OtherCADENTI CAL

National Provider Directory

National Provider Directory

Locations

1590 El Camino Real
#A
San Bruno, CA 94066
Phone (650) 794-1928

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1821124603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 EL CAMINO REAL",
            "address_2": "SUITE A",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "94066",
            "telephone_number": "650-873-6798",
            "fax_number": "650-873-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 EL CAMINO REAL",
            "address_2": "SUITE A",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "94066",
            "telephone_number": "650-873-6798",
            "fax_number": "650-873-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA ESPERANZA LABAO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "LABAO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ESPERANZA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "650-873-6798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI CAL",
            "identifier": "B4685301",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bruno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.