Active NPI
Maria V Abunto, MD
- Pediatrics Physician
- San Bruno, CA
National Provider Identifier
1912911983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A60694
- Practice address
- 1001 Sneath Lane
Ste 104
San Bruno, CA 94066 - Phone
- (650) 873-4545
- Fax
- (650) 873-4544
- NPI assigned
- Jul 28, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A60694 | CA | Primary |
Addresses
Primary practice location
1001 Sneath Lane
Ste 104
San Bruno, CA 94066
Mailing address
5528 Pacheco Blvd
#A
Pacheco, CA 94553
Phone (925) 363-8170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A606940 | Medicaid | CA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A60694 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Bruno Pediatrics Inc | Pediatrics | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912911983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5528 PACHECO BLVD",
"address_2": "#A",
"city": "PACHECO",
"state": "CA",
"postal_code": "94553",
"telephone_number": "925-363-8170",
"fax_number": "925-363-4995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SNEATH LANE",
"address_2": "STE 104",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "94066",
"telephone_number": "650-873-4545",
"fax_number": "650-873-4544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABUNTO",
"first_name": "MARIA",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A60694",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A606940",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.