Individual provider Active NPI

Jocelyn Dellosa Riel, DMD

  • General Practice Dentistry
  • Hayward, CA
National Provider Identifier
1336364603
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46520 Issued in CA
Practice address
1320 Apple Ave
202
Hayward, CA 94541-1552
Phone
(510) 581-1260
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 46520 CA Primary

Addresses

Primary practice location

1320 Apple Ave
202
Hayward, CA 94541-1552

Mailing address

2615 Somerset Ave
Castro Valley, CA 94546-4015
Phone (510) 583-0232

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
I20210708003034 CA Order and Referring Only - DentistPractitioner - Dentist 4587066873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jocelyn Riel DMD General Practice Past Accepting new patients

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336364603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 SOMERSET AVE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464015",
            "telephone_number": "510-583-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 APPLE AVE",
            "address_2": "202",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945411552",
            "telephone_number": "510-581-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEL",
        "first_name": "JOCELYN",
        "middle_name": "DELLOSA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.