JENNIE IVON GODOY (NPI# 1003441130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003441130 |
| Entity Type | Individual |
| Full Name | JENNIE IVON GODOY |
| Practice Address |
1646 Farnam Pl Pomona CA 91766-5331 |
| Mailing Address |
763 Rio Rancho Rd Ste 120 Pomona CA 91766-7015 |
| Practice Telephone | 9092428543 |
| Mailing Telephone | 9097661922 |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | RDA94371 | CA | Dental Providers |
| Street Address |
1646 FARNAM PL |
| City | POMONA |
| State | CA |
| Zip Code | 91766-5331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999494 | Justine Arce | Massage Therapist | 2063 Rancho Valley Drive Suite 320 #208, Pomona, CA 91766 | 2020-10-15 |
| 1699287938 | Monika Stephanie Wan | Pharmacist | 710 Rio Rancho Road, Pomona, CA 91766 | 2017-10-26 |
| 1306386966 | Teresa Le | Dentist | 1898 Wright St, Pomona, CA 91766 | 2017-03-02 |
| 1770971715 | Hanzel Mendez | Physical Therapist | 1080 Verbena Court, Pomona, CA 91766 | 2014-12-29 |
| 1902223589 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3 Cottontail Dr, Pomona, CA 91766 | 2014-03-21 |
| 1487075578 | Fenix Health Medical Group, Inc. | Family Medicine | 716 East Mission Blvd., Pomona, CA 91766 | 2013-12-17 |
| 1134556012 | Imperial Hospice, Inc. | Hospice Care, Community Based | 363 S Park Ave Ste 105, Pomona, CA 91766 | 2013-10-08 |
| 1497196349 | Cohen Sedgh, Manavi & Pakravan Dental Corporation | Dentist | 763 Rio Rancho Road Suite120, Pomona, CA 91766 | 2013-07-08 |
| 1245573567 | Terry Chang | Acupuncturist | 3060 W. Temple Ave., Pomona, CA 91766 | 2013-04-04 |
| 1215271085 | Emmanuel Castro | Counselor | 4 Village Loop, Phillips Ranch, CA 91766 | 2012-11-19 |
| Find all providers in zip 91766 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750825667 | Joyce Lozano | Dental Assistant | 763 Rio Rancho Rd Ste 120, Pomona, CA 91766-7015 | 2016-12-12 |
| 1922455534 | Michelle Marie Claustro | Dental Assistant | 763 Rio Rancho Rd, Suite 120, Pomona, CA 91766-7015 | 2016-05-24 |
| 1053934778 | Ana Dina Medrano | Dental Assistant | 763 Rio Rancho Rd Ste 120, Pomona, CA 91766-7015 | 2020-05-28 |
| 1063034734 | Gina Costa | Dental Assistant | 763 Rio Rancho Rd, Pomona, CA 91766-7015 | 2020-05-15 |
| 1609330067 | Ericka Gabriela Mendoza | Dental Assistant | 763 Rio Rancho Rd Ste 120, Pomona, CA 91766-7015 | 2019-01-29 |
| 1073087847 | Christine Bustamante | Dental Assistant | 763 Rio Rancho Rd Ste 120, Pomona, CA 91766-7015 | 2019-01-15 |
| 1568957132 | Nina Mendoza Marfori | Dental Assistant | 763 Rio Rancho Rd Ste 120, Pomona, CA 91766-7015 | 2018-06-26 |
| 1275030306 | Vanessa Tovar | Dental Assistant | 763 Rio Rancho Rd Ste 120, Pomona, CA 91766-7015 | 2018-04-05 |
| 1326560905 | Jill Pauline Carpenter | Dental Assistant | 763 Rio Rancho Rd, Pomona, CA 91766-7015 | 2017-07-14 |
| 1982139143 | Jessica Parra Terrazas | Dental Assistant | 763 Rio Rancho Rd, Suite 120, Pomona, CA 91766-7015 | 2017-04-25 |
| Find all providers in POMONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.