Rosetta J Vergel de Dios, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55204 Issued in CA

Practice address

1691 S Euclid St
Anaheim, CA 92802-2406

Phone

(714) 991-7572

Fax

(714) 991-7756

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1023162195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 S EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928022406",
            "telephone_number": "714-991-7572",
            "fax_number": "714-991-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 S EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928022406",
            "telephone_number": "714-991-7572",
            "fax_number": "714-991-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGEL DE DIOS",
        "first_name": "ROSETTA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Verbera Lopez
• Alva T Verde, MD
• Gladys Vergara
• Makaelani Vergara
• Renee Vergara
• Elizabeth Ann Verharst
• Christine Vian, DDS
• Alexis Maui Viciedo
• Victor R. Camones DDS Inc
• Heather Victor, B.A.

• General Practice Dentistry in Anaheim, CA
• Providers in Anaheim, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.