Maria Labao, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46853 Issued in CA

Practice address

1590 El Camino Real
Suite a
San Bruno, CA 94066-5376

Phone

(650) 873-6798

Fax

(650) 873-6643

NPI assigned

Nov 3, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Maria Esperanza Labao DDS Inc

  • Dentist
  • San Bruno, CA
  • NPI 1821124603
  NPD (past) Authorized official

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1841663598",
    "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": "940665376",
            "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": "940665376",
            "telephone_number": "650-873-6798",
            "fax_number": "650-873-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABAO",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Andrea Kuzmin
• Jamie Kwai Achariam
• Horace Kwan, PT, DPT
• Lena Kwang
• Belinda La
• Gloria Lackey
• Connor Seoras Lacy
• Ranzel Irish Ladringan
• Chan Lai
• Yuki Aoki Laib, MFT

• General Practice Dentistry in San Bruno, CA
• Providers in San Bruno, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.