DR. ROBERTO JOSE DELOSO D.D.S. - NPI 1366517658

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

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About Dr. Roberto Jose Deloso D.d.s. NPPES

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

DR. ROBERTO JOSE DELOSO D.D.S. (NPI 1366517658) is an individual oral and maxillofacial surgery provider in Antioch, California, licensed in California (43138) and active in the NPI registry since November 2006. He has opted out of Medicare through December 14, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1366517658

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. ROBERTO JOSE DELOSOCredential: D.D.S.

Location Address5201 DEER VALLEY RD, #2BAntioch, CA 94531-7429

Mailing Address5201 Deer Valley Rd, #2bAntioch, CA 94531-7429 · (925) 778-2100 · Fax (925) 778-3024

Phone(925) 778-2100

Fax(925) 778-3024

Sole ProprietorNo

Enumeration DateNovember 21, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1366517658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CA · 43138

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

5201 DEER VALLEY RD, Antioch, CA 94531

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Roberto Jose Deloso D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 14, 2016 through December 14, 2026.

Opt-Out Effective DateDecember 14, 2016

Opt-Out In Effect ThroughDecember 14, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94531 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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.