DR. MAURICIO RONDEROS DDS, MS, MPH
NPI 1457402034
Dentist - Periodontics in Redwood City, CA

Q: What is Mauricio Ronderos's NPI number?

The NPI number for Mauricio Ronderos is 1457402034. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Q: What is Mauricio Ronderos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: Is Mauricio Ronderos enrolled in Medicare?

No. Mauricio Ronderos has opted out of Medicare through May 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Mauricio Ronderos 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 January 12, 2007Opted out of Medicare · through May 10, 2028

358 MARINE PKWY STE 300, REDWOOD CITY, CA 94065(650) 595-5083(650) 594-9236 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Mauricio Ronderos Dds, Ms, Mph NPPES

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

DR. MAURICIO RONDEROS DDS, MS, MPH (NPI 1457402034) is an individual periodontics provider in Redwood City, California, licensed in California (47787) and active in the NPI registry since January 2007. He has opted out of Medicare through May 10, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1457402034

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. MAURICIO RONDEROSCredential: DDS, MS, MPH

Location Address358 MARINE PKWY STE 300Redwood City, CA 94065-5211

Mailing Address358 Marine Pkwy Ste 300Redwood City, CA 94065-5211 · (650) 595-5083 · Fax (650) 594-9236

Phone(650) 595-5083

Fax(650) 594-9236

Sole ProprietorYes

Enumeration DateJanuary 12, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1457402034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in CA · 47787

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

358 MARINE PKWY STE 300, Redwood City, CA 94065

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Other Identifiers 1

Other47787CA · Dental Linsence

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. Mauricio Ronderos Dds, Ms, Mph 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 May 10, 2018 through May 10, 2028.

Opt-Out Effective DateMay 10, 2018

Opt-Out In Effect ThroughMay 10, 2028Opt-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 94065 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.

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 Mauricio Ronderos's NPI number?

The NPI number for Mauricio Ronderos is 1457402034. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Mauricio Ronderos located?

Mauricio Ronderos practices at 358 Marine Pkwy Ste 300, Redwood City, CA 94065. The listed phone number is (650) 595-5083.

What is Mauricio Ronderos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Mauricio Ronderos enrolled in Medicare?

No. Mauricio Ronderos has opted out of Medicare through May 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mauricio Ronderos 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.