JACOB GARZA (NPI# 1114404779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114404779 |
| Entity Type | Individual |
| Full Name | JACOB GARZA |
| Practice Address |
3380 La Sierra Ave Ste 108 Riverside CA 92503-5225 |
| Mailing Address |
12335 Marquette Ct Moreno Valley CA 92557-7749 |
| Practice Telephone | 9514656982 |
| Mailing Telephone | 9514796589 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 87646 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NA | NA | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871888941 | Jacob Garza | Physical Therapist | 7939 Pat Booker Rd, Suite 120, Live Oak, TX 78233-2753 | 2011-06-16 |
| Street Address |
3380 LA SIERRA AVE STE 108 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-5225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538129572 | Martha Berman | Dentist | 3380 La Sierra Ave Ste 108, Riverside, CA 92503-5225 | 2006-03-24 |
| 1922613397 | Ariane Veronica Medina Villicana | Dental Assistant | 3380 La Sierra Ave Ste 108, Riverside, CA 92503-5225 | 2020-09-12 |
| 1124633680 | Elizabeth Damaris Salazar | Dental Assistant | 3380 La Sierra Ave Ste 108, Riverside, CA 92503-5225 | 2020-09-11 |
| 1144853532 | Austin Cardenas | Dental Hygienist | 3380 La Sierra Ave Ste 108, Riverside, CA 92503-5225 | 2020-02-13 |
| 1487284428 | Miriam Yepez | Dental Assistant | 3380 La Sierra Ave Ste 108, Riverside, CA 92503-5225 | 2020-01-17 |
| 1295385318 | Joanna Ibarra | Dental Assistant | 3380 La Sierra Ave Ste 108, Riverside, CA 92503-5225 | 2019-09-19 |
| 1497312508 | Rosann Christine Brizuela | Dental Assistant | 3380 La Sierra Ave Ste 108, Riverside, CA 92503-5225 | 2019-05-23 |
| 1497219604 | Sandra Yanira Gomez | Dental Assistant | 3380 La Sierra Ave Ste 108, Riverside, CA 92503-5225 | 2019-01-22 |
| 1558747980 | Viridiana Paniagua | Dental Assistant | 3380 La Sierra Ave Ste 108, Riverside, CA 92503-5225 | 2015-08-07 |
| 1871849604 | Gabriel Seth Pavelsky | Dental Assistant | 3380 La Sierra Ave Ste 108, Riverside, CA 92503-5225 | 2012-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| 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 |
|---|---|---|---|---|
| 1932713328 | Nancy Alejandra Cortes | Dental Assistant | 2862 Canyon Springs Pkwy Ste B, Riverside, CA 92507-0928 | 2020-09-02 |
| 1588275291 | Darek Ray Fonder | Dental Assistant | 2862 Canyon Springs Pkwy, Riverside, CA 92507-0928 | 2020-08-14 |
| 1932699048 | Rosalina A Rangel | Dental Assistant | 3380 La Sierra Ave # 1018, Riverside, CA 92503-5271 | 2018-05-14 |
| 1093240665 | Daniel Gutierrez Solis | Dental Assistant | 5355 Kent Ave, Riverside, CA 92503-2428 | 2017-04-20 |
| 1720530744 | Leesette De Santiago | Dental Assistant | 6130 Camino Real #12, Riverside, CA 92509 | 2016-10-25 |
| 1134570583 | Jessica Carmenate | Dental Assistant | 11137 Oriole Dr, Riverside, CA 92505-2430 | 2016-06-27 |
| 1114394970 | Linda Rocio Galdamez | Dental Assistant | 11251 Reddiford Ct, Riverside, CA 92505-2340 | 2015-08-27 |
| 1508100272 | Maria Verdin | Dental Assistant | 11136 Oriole Dr, Riverside, CA 92505-2430 | 2012-11-20 |
| 1770888109 | Nancy B. Gomez | Dental Assistant | 17886 Orangewood Ln, Riverside, CA 92503-7061 | 2011-01-15 |
| 1780826081 | Nicole R Rector | Dental Assistant | 11975 Herman Dr, Riverside, CA 92505-3715 | 2009-04-01 |
| Find all providers in RIVERSIDE | ||||
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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.