Jesus Isaac Patino Jr., DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

62381 Issued in CA

Practice address

9301 Fircrest LN Ste 1
San Ramon, CA 94583-3960

Phone

(925) 828-6972

Fax

(925) 828-6996

NPI assigned

Oct 31, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Jesus I. Patino Jr., DDS, Ms, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Ramon, CA
  • NPI 1831050236

  Orthodontics and Dentofacial Orthopedics

  NPD Authorized official

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1093069809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 FIRCREST LN STE 1",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833960",
            "telephone_number": "925-828-6972",
            "fax_number": "925-828-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 FIRCREST LN STE 1",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833960",
            "telephone_number": "925-828-6972",
            "fax_number": "925-828-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATINO",
        "first_name": "JESUS",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-31",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "62381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharda Ketan Patel
• Viral Patel, AMFT
• Minal Gorakhnath Patil, DDS
• Sanjay R Patil
• Anna Patino
• Samantha Patoff, DPT
• Patrick a Dawkins, M.D., Inc.
• Patrick a Dawkins, MD Inc
• William Charles Patterson, DDS
• Lindsay Patton, PH.D.

• All providers in San Ramon, CA
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.