Organization Active NPI

Lori Ross Tijerino DDS Inc.

  • General Practice Dentistry
  • Livermore, CA
National Provider Identifier
1609133479
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54031 Issued in CA
Legal business name
LORI ROSS TIJERINO DDS INC.
Doing business as
Sycamore Family Dentistry
Practice address
2620 First Street
Livermore, CA 94550
Phone
(925) 940-7770
Fax
(925) 447-9308
NPI assigned
Apr 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Lori Ann Ross TijerinoNPI 1407077589
Title
Owner/Ceo
Phone
(925) 940-7770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 54031 CA Primary

Addresses

Primary practice location

2620 First Street
Livermore, CA 94550

Mailing address

2620 First St
Livermore, CA 94550-2010
Phone (925) 940-7770

Other names 1

  • Sycamore Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2620 1st St
Livermore, CA 94550
Phone (925) 940-7770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1609133479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 FIRST ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945502010",
            "telephone_number": "925-940-7770",
            "fax_number": "925-447-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 FIRST STREET",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "94550",
            "telephone_number": "925-940-7770",
            "fax_number": "925-447-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI ROSS TIJERINO DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "TIJERINO",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANN ROSS",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "925-940-7770"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sycamore Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.