Sergio Pereira

Dentist, General Practice in Elk Grove, CA. Individual provider (NPI-1).

NPI number1679650360

StatusActive

Last updated in NPPESApr 28, 2017

Details

NPI: 1679650360
Entity type: Individual (NPI-1)
Name: Sergio Pereira
Sex: Male
Sole proprietor: No
Enumeration date: Nov 1, 2006
Last updated: Apr 28, 2017

Medicare and OIG

Medicare enrolled (PECOS): Yes · ORDER AND REFERRING ONLY - DENTIST
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1223G0001X	Dentist, General Practice	43387	CA	Yes

Practice location

5700 Whitelock Pkwy
# 120
Elk Grove, CA 95757-5925

Phone 916-714-3344 · Fax 916-714-3304

Mailing address

5700 Whitelock Pkwy
# 120
Elk Grove, CA 95757-5925

Phone 916-714-3344 · Fax 916-714-3304

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other General Practice Dentistry providers in Elk Grove, CA

All 115 General Practice Dentistry providers in Elk Grove · All 4,410 providers in Elk Grove

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