Jessica Naycalo Deloso, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

45675 Issued in CA

Practice address

3107 Lone Tree Way
Suite F
Antioch, CA 94509-4980

Phone

(925) 757-2422

Fax

(925) 757-8098

NPI assigned

Sep 26, 2006

Last updated

Jan 6, 2015By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1447351937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 LONE TREE WAY",
            "address_2": "SUITE F",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094980",
            "telephone_number": "925-757-2422",
            "fax_number": "925-757-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 LONE TREE WAY",
            "address_2": "SUITE F",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094980",
            "telephone_number": "925-757-2422",
            "fax_number": "925-757-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOSO",
        "first_name": "JESSICA",
        "middle_name": "NAYCALO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PRACTICE",
            "identifier": "47-2520340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary-Jane Dejonge
• Sarah Del Gavio, LCSW
• Russell Del Rosario
• Laura Delgado
• Sabrina Delgado
• Roberto Jose Deloso, D.D.S.
• Delta Bay Healthcare (Acavam Home Health)
• Delta Medical Pharmacy Antioch
• Delta Medical Pharmacy Antioch
• Delta Pediatrics Medical Group, Inc. (Abbas Mahdavi, M.D., Inc.)

• Dentist in Antioch, CA
• Providers in Antioch, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.