DR. MARY ANN SANVICTORES DDS
NPI 1275977514
Dentist in San Diego, CA

Q: What is Mary Ann Sanvictores's NPI number?

The NPI number for Mary Ann Sanvictores is 1275977514. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Q: What is Mary Ann Sanvictores's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since April 17, 2013PECOS Enrolled

4305 UNIVERSITY AVE STE 120, SAN DIEGO, CA 92105(619) 285-8135(619) 795-3743 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mary Ann Sanvictores Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY ANN SANVICTORES DDS (NPI 1275977514) is an individual dentist in San Diego, California, licensed in California (44360) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275977514

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. MARY ANN SANVICTORESCredential: DDS

Location Address4305 UNIVERSITY AVE STE 120San Diego, CA 92105-1645

Mailing Address2835 Highland Ave, Suite ANational City, CA 91950-7404 · (619) 474-5567

Phone(619) 285-8135

Fax(619) 795-3743

Sole ProprietorNo

Enumeration DateApril 17, 2013

Last NPPES UpdateSeptember 26, 2023

NPPES CertifiedSeptember 26, 2023

✔ NPI 1275977514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 44360

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4305 UNIVERSITY AVE STE 120, San Diego, CA 92105

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Ann Sanvictores Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LA MAESTRA FAMILY CLINIC, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

4305 UNIVERSITY AVE STE 120
SAN DIEGO, CA 92105

San Diego County (619) 972-4165

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ann Sanvictores's NPI number?

The NPI number for Mary Ann Sanvictores is 1275977514. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Where is Mary Ann Sanvictores located?

Mary Ann Sanvictores practices at 4305 University Ave Ste 120, San Diego, CA 92105. The listed phone number is (619) 285-8135.

What is Mary Ann Sanvictores's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mary Ann Sanvictores enrolled in Medicare?

Yes. Mary Ann Sanvictores is registered in the Medicare PECOS enrollment system.

What insurance does Mary Ann Sanvictores accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Mary Ann Sanvictores as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Ann Sanvictores was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.