DR. LYNNE A BALDASSARI-CRUZ D.D.S.
NPI 1629136015
Dentist - Endodontics in San Carlos, CA

Q: What is Lynne Baldassari-cruz's NPI number?

The NPI number for Lynne Baldassari-cruz is 1629136015. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Q: What is Lynne Baldassari-cruz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: Is Lynne Baldassari-cruz enrolled in Medicare?

No. Lynne Baldassari-cruz has opted out of Medicare through September 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since December 05, 2006Opted out of Medicare · through Sep 14, 2027

1028 LAUREL ST, SAN CARLOS, CA 94070(650) 595-3722(650) 595-3636 Get Directions Write a Review

NPPES record last updated: September 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Lynne A Baldassari-cruz D.d.s. NPPES

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

DR. LYNNE A BALDASSARI-CRUZ D.D.S. (NPI 1629136015) is an individual endodontics provider in San Carlos, California, licensed in California (38395) and active in the NPI registry since December 2006. She has opted out of Medicare through September 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629136015

Entity TypeIndividualFemale

Primary Taxonomy1223E0200X

Provider Legal NameDR. LYNNE A BALDASSARI-CRUZCredential: D.D.S.

Location Address1028 LAUREL STSan Carlos, CA 94070-3919

Mailing Address405 El Camino Real, #622Menlo Park, CA 94025-5240 · (650) 380-1337 · Fax (650) 376-3326

Phone(650) 595-3722

Fax(650) 595-3636

Sole ProprietorYes

Enumeration DateDecember 5, 2006

Last NPPES UpdateSeptember 3, 2013

✔ NPI 1629136015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in CA · 38395

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

1028 LAUREL ST, San Carlos, CA 94070

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lynne A Baldassari-cruz D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 14, 2015 through September 14, 2027.

Opt-Out Effective DateSeptember 14, 2015

Opt-Out In Effect ThroughSeptember 14, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94070 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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 2

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

SAN CARLOS ENDODONTICS

Clinic/Center (Dental)

1028 LAUREL ST
SAN CARLOS, CA 94070

San Mateo County (650) 595-3722

TRANG H DUONG

Dentist

1028 LAUREL ST
SAN CARLOS, CA 94070

San Mateo County (832) 525-9967

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 Lynne Baldassari-cruz's NPI number?

The NPI number for Lynne Baldassari-cruz is 1629136015. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Lynne Baldassari-cruz located?

Lynne Baldassari-cruz practices at 1028 Laurel St, San Carlos, CA 94070. The listed phone number is (650) 595-3722.

What is Lynne Baldassari-cruz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Lynne Baldassari-cruz enrolled in Medicare?

No. Lynne Baldassari-cruz has opted out of Medicare through September 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lynne Baldassari-cruz was last updated on September 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.