Ricuccio Negom, DDS
NPI 1124208152 · Dentist · San Luis Obispo, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ricuccio Negom, DDS is a Dentist provider in San Luis Obispo, CA (NPI 1124208152).
Provider details
- NPI number
- 1124208152
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 55065 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-11-07
- Last updated
- 2021-03-12
- Certified
- 2021-03-05
Frequently asked questions
- What is Ricuccio Negom's NPI number?
- Ricuccio Negom's National Provider Identifier (NPI) is 1124208152, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ricuccio Negom's specialty?
- Ricuccio Negom is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Ricuccio Negom located?
- Ricuccio Negom's practice location on file with NPPES is 735 Tank Farm Rd Ste 170, San Luis Obispo, CA 93401-7071.
- What is Ricuccio Negom's phone number?
- The practice phone number listed in the NPPES registry for Ricuccio Negom is (805) 549-9000.
- Does Ricuccio Negom accept Medicare?
- Ricuccio Negom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ricuccio Negom's NPI active?
- Yes — Ricuccio Negom's NPI (1124208152) is active in the NPPES registry as of the last update on 2021-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.