Jeffrey A Delgadillo, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DDS107240 Issued in CA

Practice address

2525 K St Ste 101
Sacramento, CA 95816-5114

Phone

(916) 442-1882

NPI assigned

Feb 10, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdelgadillo649011@hisp.ehr.sutterhealth.org

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.

• Richard F. Jackson, DDS, Gregory Heise, DDS, and Craig Alpha, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Sacramento, CA
  • NPI 1689762569
  NPD

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1801334792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 K ST STE 101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165114",
            "telephone_number": "916-442-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 K ST STE 101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165114",
            "telephone_number": "916-442-1882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-920-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELGADILLO",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-10",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "DDS107240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PRACTICE",
            "identifier": "680318248",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.sacramentooms.com/",
            "affiliation": "N",
            "endpointDescription": "office website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2525 K St Ste 101",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958165114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elsa Deleon, RN
• Jayda Deleon
• Natalie Deleon
• Ismael Alexander Delgadillo
• James Quincy Delgadillo, M.D.
• Kareen Delgadillo
• Lisa Delgadillo
• Margarita Elizabeth Delgadillo, PA-C, MPH
• Stella Lorraine Delgadillo, MA MFT I
• Tatiana Delgado-Kahn, OTR/L

• Oral and Maxillofacial Surgery (Dentist) in Sacramento, CA
• Providers in Sacramento, 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 10, 2022; 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.