DR. MA ROSARIO GUTIERREZ EXCONDE DDS
NPI 1922196559
Dentist - Oral and Maxillofacial Surgery in Vallejo, CA

Active since October 10, 2006PECOS Enrolled
133 PLAZA DR, SUITE R, VALLEJO, CA 94591(707) 557-6245 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Ma Rosario Gutierrez Exconde Dds NPPES

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

DR. MA ROSARIO GUTIERREZ EXCONDE DDS (NPI 1922196559) is an individual oral and maxillofacial surgery provider in Vallejo, California, licensed in California (50414) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922196559
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MA ROSARIO GUTIERREZ EXCONDECredential: DDS
Location Address133 PLAZA DR, SUITE RVallejo, CA 94591-3703
Mailing Address490 Arguello DrBenicia, CA 94510-3987 · (707) 747-1913
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateMarch 3, 2022
NPPES CertifiedMarch 3, 2022
NPI 1922196559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · 50414
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.

Also ListedDentistTaxonomy 122300000X · License 50414 (CA)
133 PLAZA DR, Vallejo, CA 94591

Accepted 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. Ma Rosario Gutierrez Exconde 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 94591 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
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$80.24 typical visit price
range $21.86 – $157.69
Typical copayment $20.06 (range $5.46 – $39.42)
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 5

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

Dentist
133 PLAZA DR
VALLEJO, CA 94591
Dentist (General Practice)
133 PLAZA DR
VALLEJO, CA 94591
Dental Hygienist
133 PLAZA DR
VALLEJO, CA 94591
Dentist
133 PLAZA DR, SUITE R
VALLEJO, CA 94591
Dentist
133 PLAZA DR
VALLEJO, CA 94591

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922196559, enumerated as an "individual" on October 10, 2006.

The provider is located at 133 PLAZA DR SUITE R VALLEJO, CA 94591 and the phone number is (707) 557-6245.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.