Angelita Y. Luciano D.M.D., Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

41274 Issued in CA

Legal business name

ANGELITA Y. LUCIANO D.M.D., INC.

Practice address

1695 Alum Rock Ave
Suite #1
San Jose, CA 95116-2445

Phone

(408) 258-3584

Fax

(408) 258-3586

NPI assigned

Jan 30, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Bernardo Lapena Luciano Jr.

Title

Office Manager

Phone

(408) 258-3584

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• none Doing business as

Locations

Practitioners 1

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

• Angelita Yumul Luciano, DMD

  • Dentist
  • San Jose, CA
  • NPI 1720106511
  NPD (past)

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1891972063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 ALUM ROCK AVE",
            "address_2": "SUITE #1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951162445",
            "telephone_number": "408-258-3584",
            "fax_number": "408-258-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 ALUM ROCK AVE",
            "address_2": "SUITE #1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951162445",
            "telephone_number": "408-258-3584",
            "fax_number": "408-258-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELITA Y. LUCIANO D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "LUCIANO",
        "authorized_official_first_name": "BERNARDO",
        "authorized_official_middle_name": "LAPENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "408-258-3584",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "41274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B41274-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lizbeth Angel
• Jarren Angeles
• Maryanne Manetta Angeles, LVN
• Monica Juliana Angeles
• Rachel Angeley
• Cathy Dugar Angell, MD
• Ivan Angelov
• Angels Manor Care Home
• Paul Merlu Arrojado Anggo
• Cindy Angot

• Dental Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.