MAYRA BAZAVILVAZO D.M.D
NPI 1437440260
Dentist - Periodontics in Costa Mesa, CA

Q: What is Mayra Bazavilvazo's NPI number?

The NPI number for Mayra Bazavilvazo is 1437440260. It was assigned to this individual provider in the NPPES registry on April 27, 2011.

Q: What is Mayra Bazavilvazo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Mayra Bazavilvazo was last updated on June 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 27, 2011

1012 BRIOSO DR STE 105, COSTA MESA, CA 92627(305) 298-8797 Get Directions Write a Review

NPPES record last updated: June 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mayra Bazavilvazo D.m.d NPPES

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

MAYRA BAZAVILVAZO D.M.D (NPI 1437440260) is an individual periodontics provider in Costa Mesa, California, licensed in California (60257) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1437440260

Entity TypeIndividualFemale

Primary Taxonomy1223P0300X

Provider Legal NameMAYRA BAZAVILVAZOCredential: D.M.D

Location Address1012 BRIOSO DR STE 105Costa Mesa, CA 92627-4544

Mailing Address1401 Avocado Ave, 502Newport Beach, CA 92660-7720 · (949) 640-9554

Phone(305) 298-8797

Sole ProprietorYes

Enumeration DateApril 27, 2011

Last NPPES UpdateJune 10, 2016

✔ NPI 1437440260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Licenses✔ Licensed in CA · 60257✔ Licensed in FL · DN17300

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1012 BRIOSO DR STE 105, Costa Mesa, CA 92627

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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 Mayra Bazavilvazo's NPI number?

The NPI number for Mayra Bazavilvazo is 1437440260. It was assigned to this individual provider in the NPPES registry on April 27, 2011.

Where is Mayra Bazavilvazo located?

Mayra Bazavilvazo practices at 1012 Brioso Dr Ste 105, Costa Mesa, CA 92627. The listed phone number is (305) 298-8797.

What is Mayra Bazavilvazo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Mayra Bazavilvazo was last updated on June 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.