Roberto Jose Deloso, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

43138 Issued in CA

Practice address

5201 Deer Valley Rd
#2B
Antioch, CA 94531-7429

Phone

(925) 778-2100

Fax

(925) 778-3024

NPI assigned

Nov 21, 2006

Sex

Male

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

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.

Opted out of Medicare

Yes, effective Dec 14, 2016 through Dec 14, 2026

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Sloan M. McDonald, DDS and Roberto J. Deloso, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Antioch, CA
  • NPI 1023287380
  NPD (past) Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366517658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 DEER VALLEY RD",
            "address_2": "#2B",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945317429",
            "telephone_number": "925-778-2100",
            "fax_number": "925-778-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 DEER VALLEY RD",
            "address_2": "#2B",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945317429",
            "telephone_number": "925-778-2100",
            "fax_number": "925-778-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOSO",
        "first_name": "ROBERTO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "43138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Del Gavio, LCSW
• Russell Del Rosario
• Laura Delgado
• Sabrina Delgado
• Jessica Naycalo Deloso, DDS
• Delta Bay Healthcare
• Delta Medical Pharmacy Antioch
• Delta Medical Pharmacy Antioch
• Delta Pediatrics Medical Group, Inc.
• Debra J. Denherder, MD

• Oral and Maxillofacial Surgery (Dentist) in Antioch, CA
• Providers in Antioch, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.