Grace Lacson Del Rosario

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS40644 Issued in CA

Practice address

35111 Newark Blvd Ste a
Newark, CA 94560-1258

Phone

(510) 494-0404

Fax

(510) 494-1621

NPI assigned

Nov 11, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Del Rosario Dental Offices, P.C.

  • Dental Clinic/Center
  • Union City, CA
  • NPI 1215661475
  NPD

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1154923548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32364 DYER ST",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945871720",
            "telephone_number": "510-324-2000",
            "fax_number": "510-288-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35111 NEWARK BLVD STE A",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945601258",
            "telephone_number": "510-494-0404",
            "fax_number": "510-494-1621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32364 Dyer St",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "CA",
            "postal_code": "945871720",
            "country_code": "US",
            "telephone_number": "510-324-2000",
            "fax_number": "510-288-1394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43480 Mission Blvd Unit 150",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945395892",
            "country_code": "US",
            "telephone_number": "510-659-8000",
            "fax_number": "510-659-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEL ROSARIO",
        "first_name": "GRACE",
        "middle_name": "LACSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS40644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "m_narciso@sbcglobal.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "32364 Dyer St",
            "city": "Union City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945871720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony Deaton
• Maranda Heather Decierdo, O.D.
• Sophia Belle Decker
• Malcolm King Defils
• Alice Lucinda Del Rosario, MD
• Danielle Nicole Mariko Delaney
• Mary Joyce V Delos Reyes, DPT
• Aleya Jean Delphino
• Delta Optical
• Vijeta Munjal Desai, BCBA

• General Practice Dentistry in Newark, CA
• Providers in Newark, 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 Nov 11, 2020; 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.