Organization Active NPI

Sloan M. McDonald, DDS and Roberto J. Deloso, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Antioch, CA
National Provider Identifier
1023287380
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
43138 Issued in CA
Legal business name
SLOAN M. MCDONALD, DDS AND ROBERTO J. DELOSO, DDS
Practice address
5201 Deer Valley Rd
#2B
Antioch, CA 94531-7429
Phone
(925) 778-2100
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Dr. Roberto Jose Deloso, D.D.S.NPI 1366517658
Title
Partner
Phone
(925) 778-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 43138 CA Primary

Addresses

Primary practice location

5201 Deer Valley Rd
#2B
Antioch, CA 94531-7429

Mailing address

5201 Deer Valley Rd
#2B
Antioch, CA 94531-7429

National Provider Directory

National Provider Directory

Locations

5201 Deer Valley Rd
Ste 2B
Antioch, CA 94531
Phone (925) 778-2100

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1023287380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 DEER VALLEY RD",
            "address_2": "#2B",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945317429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 DEER VALLEY RD",
            "address_2": "#2B",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945317429",
            "telephone_number": "925-778-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLOAN M. MCDONALD, DDS AND ROBERTO J. DELOSO, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "DELOSO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "925-778-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "43138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.