Individual provider Active NPI

Rodney Jay Bughao, DDS

  • General Practice Dentistry
  • El Dorado Hills, CA
National Provider Identifier
1306923545
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
B35597 Issued in CA
Practice address
1035 Suncast Lane
Suite 110
El Dorado Hills, CA 95762-9658
Phone
(916) 941-0323
Fax
(916) 941-0325
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X B35597 CA Primary

Addresses

Primary practice location

1035 Suncast Lane
Suite 110
El Dorado Hills, CA 95762-9658

Mailing address

1035 Suncast Lane
Suite 110
El Dorado Hills, CA 95762
Phone (916) 941-0323

Other identifiers 2

IdentifierTypeStateIssuer
G9401901MedicaidCA
CGP162180OtherCACCS PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131217001750 CA Practitioner - Oral Surgery 3072740182 Practice locations: El Dorado Hills, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35597CAMDMental Health Counselor
B35597CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sally Chu Dental Corporation General Practice PastSince Nov 24, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rbughao21149@hisp.ehr.sutterhealth.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1306923545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 SUNCAST LANE",
            "address_2": "SUITE 110",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "95762",
            "telephone_number": "916-941-0323",
            "fax_number": "916-941-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 SUNCAST LANE",
            "address_2": "SUITE 110",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629658",
            "telephone_number": "916-941-0323",
            "fax_number": "916-941-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGHAO",
        "first_name": "RODNEY",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B35597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9401901",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCS PROVIDER ID",
            "identifier": "CGP162180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

Verify at the official NPI Registry.