DR. SERGIO VICUNA DDS
NPI 1114025798
Dentist - General Practice in Roseville, CA

Q: What is Sergio Vicuna's NPI number?

The NPI number for Sergio Vicuna is 1114025798. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Sergio Vicuna's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Sergio Vicuna was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 20, 2006PECOS Enrolled

1259 PLEASANT GROVE BLVD, STE. 100, ROSEVILLE, CA 95678(916) 782-2010(916) 782-2080 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Sergio Vicuna Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SERGIO VICUNA DDS (NPI 1114025798) is an individual general practice provider in Roseville, California, licensed in California (53129) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114025798

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SERGIO VICUNACredential: DDS

Location Address1259 PLEASANT GROVE BLVD, STE. 100Roseville, CA 95678-6971

Mailing Address2860 Michelle, 2nd FloorIrvine, CA 92606-1009 · (714) 508-3600 · Fax (714) 368-2092

Phone(916) 782-2010

Fax(916) 782-2080

Sole ProprietorNo

Enumeration DateSeptember 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114025798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 53129

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1259 PLEASANT GROVE BLVD, Roseville, CA 95678

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sergio Vicuna Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95678 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GINA D CRIPPEN DDS

Dentist (General Practice)

1259 PLEASANT GROVE BLVD, SUITE 100
ROSEVILLE, CA 95678

Placer County (916) 782-2010

DENTAL CORPORATION OF CHARLES RODGERS AND CAROLYN GHAZAL

Dentist (General Practice)

1259 PLEASANT GROVE BLVD, STE. 100
ROSEVILLE, CA 95678

Placer County (916) 782-2010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sergio Vicuna's NPI number?

The NPI number for Sergio Vicuna is 1114025798. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Sergio Vicuna located?

Sergio Vicuna practices at 1259 Pleasant Grove Blvd Ste. 100, Roseville, CA 95678. The listed phone number is (916) 782-2010.

What is Sergio Vicuna's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Sergio Vicuna enrolled in Medicare?

Yes. Sergio Vicuna is registered in the Medicare PECOS enrollment system.

What insurance does Sergio Vicuna accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Sergio Vicuna as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sergio Vicuna was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.