Individual provider Active NPI

Ruth Saludo De Joya, D.M.D

  • General Practice Dentistry
  • Vallejo, CA
National Provider Identifier
1609985860
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40571 Issued in CA
Practice address
2121 Redwood St Ste F
Vallejo, CA 94590-3603
Phone
(707) 644-5943
Fax
(707) 644-2136
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40571 CA Primary

Addresses

Primary practice location

2121 Redwood St Ste F
Vallejo, CA 94590-3603

Mailing address

2121 Redwood St Ste F
Vallejo, CA 94590-3603
Phone (707) 644-5943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160303002468 CA Order and Referring Only - Other (Non-Physician) 3173829983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ruth S. de Joya, DMD, Inc General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609985860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 REDWOOD ST STE F",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903603",
            "telephone_number": "707-644-5943",
            "fax_number": "707-644-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 REDWOOD ST STE F",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903603",
            "telephone_number": "707-644-5943",
            "fax_number": "707-644-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JOYA",
        "first_name": "RUTH",
        "middle_name": "SALUDO",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.