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University of the Pacific

NPI 1083390579ActiveOrganization· Dentist, Endodontics· San Francisco, CA

Dentist, Endodontics in San Francisco, California, registered in NPPES in June 2023, part of University of the Pacific. The authorized official on file is Ed Pegueros, Asst. Dean Budget & Fin. Admin.

Overview

NPI1083390579
StatusActive
Entity typeOrganization (subpart)
Parent organizationUniversity of the Pacific
NPI issuedJun 27, 2023
Last updated in NPPESSep 18, 2023
Certified by providerSep 18, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Endodontics Primary1223E0200X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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