Marcel Evan Acob, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105213 Issued in CA

Practice address

3319 J St
Sacramento, CA 95816-4502

Phone

(916) 452-2002

NPI assigned

Aug 6, 2020

Last updated

Apr 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Image Dental

  dba Stephen Nozaki DDS, INC

  • Dentist
  • Stockton, CA
  • NPI 1790037737
  NPD (past)

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1851901557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164502",
            "telephone_number": "916-216-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164502",
            "telephone_number": "916-452-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOB",
        "first_name": "MARCEL",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-06",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natanya Ackerly
• Lyndsey Demelza Ackerman, NP
• Calvary Renee Casmere Unique Ackerson
• Lebron Acklen
• Acme Chiropractic Inc.
• Jasmine Acocella, CPT1
• Guadalupe Acosta-Moreno
• Guadalupe Acosta-Razo
• Andres David Acosta
• Desiree Angelina Acosta

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.