Alfredo A. Dela Rosa Jr., DDS, MD, MBA

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

A123001 Issued in CA

Practice address

6063 Mission St
Daly City, CA 94014-2007

Phone

(415) 963-4121

NPI assigned

Feb 27, 2007

Last updated

Jul 11, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alfredo a Dela Rosa DDS Inc

  dba A.R. Oral Surgery and Implant Center

  • Oral and Maxillofacial Surgery Clinic/Center
  • Daly City, CA
  • NPI 1386043909
  Authorized official Same address or phone
• Polly Chan DDS Inc

  • Dentist
  • Foster City, CA
  • NPI 1508931247
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1356478788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6063 MISSION ST",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142007",
            "telephone_number": "415-963-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6063 MISSION ST",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142007",
            "telephone_number": "415-963-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA ROSA",
        "first_name": "ALFREDO",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS, MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "56785",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A123001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Deanda
• Teresita Yee Degamo, MD
• Karina Ann Del Real
• Bonita Dela Rama, D.D.S.
• Marjorie Garcia Dela Rama, D.M.D.
• Vincent Delgado
• Alysiamay F Delos Reyes
• Anna Lyn Delos Santos
• Toshie Dempsey, NP
• Stephan Denis

• Oral & Maxillofacial Surgery (D.M.D.) in Daly City, CA
• Providers in Daly City, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.