Jose Miguel Rodriguez Ramos, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105237 Issued in CA

Practice address

863 I St Ste B
Los Banos, CA 93635-4358

Phone

(626) 702-6500

NPI assigned

Apr 7, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690070400000",
    "number": "1336602408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 SAN BERNARDINO ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936356469",
            "telephone_number": "626-702-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 I ST STE B",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354358",
            "telephone_number": "626-702-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Barboza St",
            "address_purpose": "LOCATION",
            "city": "Mendota",
            "state": "CA",
            "postal_code": "936401901",
            "country_code": "US",
            "telephone_number": "800-492-4227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ RAMOS",
        "first_name": "JOSE",
        "middle_name": "MIGUEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-07",
        "last_updated": "2023-07-23",
        "certification_date": "2023-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105237",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Robledo
• Bianca Maria Rocha, RDH, BSDH, BS
• Luz Rocha
• Savannah Rocha
• Megan Rodney
• Alicia Monique Rodriguez
• Breana Michelle Rodriguez
• Esmeralda Rodriguez
• Ezequiel Joseph Rodriguez
• Jesus A Rodriguez

• General Practice Dentistry in Los Banos, CA
• Providers in Los Banos, 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 Jul 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.