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NPI 1679607790ActiveIndividual· Dentist, Pediatric Dentistry· Tracy, CA

Dentist, Pediatric Dentistry in Tracy, California, licensed in CA, with an NPI issued in March 2007. Enrolled in Medicare as order and referring only - dentist. Voco America Inc. reported $17.38 in payments in 2025, mostly food and beverage.

Overview

NPI1679607790
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMar 14, 2007
Last updated in NPPESJan 13, 2022
Certified by providerJan 13, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Pediatric Dentistry Primary1223P0221XCA55054CA
Dentist122300000X55054CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Dentist (CA)

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$17.38 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Voco America Inc.$17.381

What the 2025 payments were for

  • Food and Beverage$17.38 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other pediatric dentists in Tracy

All pediatric dentists in California