Doctor profile · Federal record
Dr. Marivic Agoncillo, D.D.S
General Practice Dentistry · Daly City, CA
- NPI 1366574311
- 19 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
343 Gellert Blvd Ste G
Daly City, CA 940152620
(650) 731-0625
fax (650) 997-3542 - Mailing address
-
2480 El Camino Real
Redwood City, CA 940632850
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- August 11, 2025
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- California #43304
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1366574311. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$27
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zimvie INC. | 1 | $18.32 | |
| Align Technology, INC. | 1 | $8.41 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
24
Patients
13
Total drug cost
$58
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 24 | 13 | $58 |
Frequently asked questions
What is Dr. Marivic Agoncillo's medical specialty?
Dr. Marivic Agoncillo practices General Practice Dentistry in Daly City, CA.
Where does Dr. Marivic Agoncillo practice?
Dr. Marivic Agoncillo practices at 343 Gellert Blvd Ste G, Daly City, CA 940152620. Office phone: 6507310625.
What is Dr. Marivic Agoncillo's NPI?
Dr. Marivic Agoncillo's National Provider Identifier (NPI) is 1366574311, issued by NPPES.