Shayna Rondon, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DDS59292 Issued in CA

Practice address

1171 Murrieta Blvd
Livermore, CA 94550-4143

Phone

(925) 449-6633

Fax

(925) 449-0766

NPI assigned

Jun 25, 2012

Sex

Female

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

State licenses

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1669736690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6934 ARMOUR CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928803626",
            "telephone_number": "909-362-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 MURRIETA BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504143",
            "telephone_number": "925-449-6633",
            "fax_number": "925-449-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDON",
        "first_name": "SHAYNA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "59292",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "DDS59292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth A Rodgers, PHARM.D.
• Leslie Ann Rodriguez, M.A., CCC-SLP
• Jessica Rojas Ramirez, COTA
• Jasmin Rollins
• Andrea Renee Romero, OTR L
• Christine Lori Rongey, MD
• Geraldine R Root-Mauthe, LCSW
• Ian Rosenthal, LMFT
• Diane Celia Ross-Ready, M.S., MFTI
• Raymond J. Rowell, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Livermore, CA
• Providers in Livermore, 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 Jun 11, 2019; 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.