Active NPI
Paola Guglielmoni, DDS MS
- Periodontics
- San Francisco, CA
National Provider Identifier
1902951361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 42657
- Practice address
- 345 W Portal Ave
Suite 300
San Francisco, CA 94127-1429 - Phone
- (415) 664-4532
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 42657 | CA | Primary |
Addresses
Primary practice location
345 W Portal Ave
Suite 300
San Francisco, CA 94127-1429
Mailing address
345 W Portal Ave
Suite 300
San Francisco, CA 94127-1429
Phone (415) 664-4532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 26, 2015 through May 26, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42657 | CA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory Conte DMD Ms and Paola Guglielmoni DDS, Ms | Periodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Periodontics
- San Francisco, CA
- NPI 1932407046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1902951361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 W PORTAL AVE",
"address_2": "SUITE 300",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941271429",
"telephone_number": "415-664-4532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 W PORTAL AVE",
"address_2": "SUITE 300",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941271429",
"telephone_number": "415-664-4532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUGLIELMONI",
"first_name": "PAOLA",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "42657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.