IndividualActive
Jose Mario D Fontanilla, M.D.
NPI 1164528469 · Infectious Disease Physician · Roseville, CA
Provider details
- NPI number
- 1164528469
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 23108 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1600 Eureka Rd
Roseville, CA 95661-3027
Phone: (916) 784-5655
Street-level locationGet directions
Mailing address
401 Bicentennial Way
Santa Rosa, CA 95403-2149
Registry dates
- Enumerated
- 2006-09-15
- Last updated
- 2025-01-03
- Certified
- 2025-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.