Andrea Bakke Delurgio, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

53783 Issued in CA

Practice address

8035 Madison Ave Ste G2
Citrus Heights, CA 95610-7949

Phone

(916) 966-5517

NPI assigned

Nov 10, 2009

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": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1316274459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 CLAY ST APT 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093434",
            "telephone_number": "415-531-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 MADISON AVE STE G2",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107949",
            "telephone_number": "916-966-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELURGIO",
        "first_name": "ANDREA",
        "middle_name": "BAKKE",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "53783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Xytlali Del Rio Moreno I
• Amelina Del Toro
• Denycejoyce Delacruz
• Jessica Delgado
• Alexandria Deloach
• Edidia F Demian
• Jan Marie Derrah
• Elizabeth Devan
• Shelagh Anne Deveney
• Marisa Nicole Dexter

• Orthodontics and Dentofacial Orthopedics Dentistry in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.