Rosy Escobedo Bandala, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

48085 Issued in CA

Practice address

3992 Foothills Blvd
Suite 120
Roseville, CA 95747-7280

Phone

(916) 782-7808

Fax

(916) 782-7466

NPI assigned

Mar 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093833089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2166 BLACKHEATH LN",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783410",
            "telephone_number": "916-995-1919",
            "fax_number": "916-782-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3992 FOOTHILLS BLVD",
            "address_2": "SUITE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957477280",
            "telephone_number": "916-782-7808",
            "fax_number": "916-782-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDALA",
        "first_name": "ROSY",
        "middle_name": "ESCOBEDO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NA'Kerah L Ballinger
• Joven Baltazar
• Mai Pham Baltazar
• Lilian Baluyot
• Jose L Bandala, DDS
• Derrick Bane
• Brandy E Banegas
• Amrit Singh Banga, DO
• Fineas Daniel Bangean
• Nikita Ravindra Bangera

• Dentist in Roseville, CA
• Providers in Roseville, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.