Rodolfo Lopez Orteza Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

102049 Issued in CA

Practice address

120 Fremont Hub Courtyard
Fremont, CA 94538-7701

Phone

(510) 744-1300

Fax

(510) 744-1303

NPI assigned

Oct 27, 2017

Last updated

Oct 27, 2017By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Guy Gabriel Nazareno DDS

  • General Practice Dentistry
  • Fremont, CA
  • NPI 1881505253
  NPD (past)

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1053823278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 FREMONT HUB COURTYARD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945387701",
            "telephone_number": "510-744-1300",
            "fax_number": "510-744-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 FREMONT HUB COURTYARD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945387701",
            "telephone_number": "510-744-1300",
            "fax_number": "510-744-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEZA",
        "first_name": "RODOLFO",
        "middle_name": "LOPEZ",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Costello Orphanos, LCSW
• Carmella M Orr
• Angelina Ortega Ramirez
• Cecilia Esther Ortega, D.D.S.
• Divina Ortega
• Orthopaedic Sports Specialists a Medical Corp
• Dalaila Ortiz Rodriguez
• Bianca Ortiz
• Brenda Ortiz
• Natalie Merced Ortiz

• General Practice Dentistry in Fremont, CA
• Providers in Fremont, 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 Oct 27, 2017; 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.