Individual provider Active NPI

Roberto Z. Calabio, D.M.D.

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1952501108
Registry record updated Dec 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51900 Issued in CA
Practice address
3184 22ND St
San Francisco, CA 94110-3232
Phone
(415) 642-2050
NPI assigned
Jul 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 51900 CA Primary

Addresses

Primary practice location

3184 22ND St
San Francisco, CA 94110-3232

Mailing address

3184 22ND St
San Francisco, CA 94110-3232
Phone (415) 642-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160803001098 CA Order and Referring Only - DentistPractitioner - Dentist 2668766361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51900CAMDPsychiatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324080000000",
    "number": "1952501108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3184 22ND ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103232",
            "telephone_number": "415-642-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3184 22ND ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103232",
            "telephone_number": "415-642-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALABIO",
        "first_name": "ROBERTO",
        "middle_name": "Z.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2011-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.