GUADALUPE ENRIQUEZ PACHECO (NPI# 1124583091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124583091 |
| Entity Type | Individual |
| Full Name | GUADALUPE ENRIQUEZ PACHECO |
| Practice Address |
2601 Dixie St Rosamond CA 93560-6027 |
| Practice Telephone | 3233846375 |
| Mailing Telephone | 3233846375 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | RDA71318 | CA | Dental Providers |
| Street Address |
2601 DIXIE ST |
| City | ROSAMOND |
| State | CA |
| Zip Code | 93560-6027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104244755 | Lorie Louise Greene | Private Vehicle | 1111 Sierra Hwy, Rosamond, CA 93560 | 2014-04-01 |
| 1528282951 | Jennefer Janet Gonzalez | Case Manager/Care Coordinator | 2689 Sierra Hwy., Rosamond, CA 93560 | 2007-04-13 |
| 1881717924 | Nancy R Barragan | Case Manager/Care Coordinator | 2689 Sierra Hwy, Rosamond, CA 93560 | 2007-04-06 |
| 1619090529 | Susan Jo Fine | Marriage & Family Therapist | 2689 Sierra Highway, Rosamond, CA 93560 | 2007-04-06 |
| 1003933383 | Kaiser Permanente | General Acute Care Hospital | 6423 W Rosamond Blvd, Rosamond, CA 93560 | 2007-03-23 |
| 1295837532 | Jose Velasquez De Jesus | Clinic/Center | 2947 Sierra Way, Rosamond, CA 93560 | 2006-09-05 |
| 1275908741 | John Greene | Driver | 1111 Sierra Hwy, Rosamond, CA 93560 | 2015-12-09 |
| 1427272715 | Melissa Ann Hampton | Marriage & Family Therapist | 2689 Sierra Hwy, Box 1359, Rosamond, CA 93560 | 2007-04-11 |
| 1619090263 | Gwendolyn Marie Hootman | Licensed Vocational Nurse | 2689 Sierra Highway, Box 1359, Rosamond, CA 93560 | 2007-04-09 |
| 1689797052 | Sharon Adell Evanoff-eastman | Case Manager/Care Coordinator | 2689 Sierra Highway, Box 1359, Rosamond, CA 93560 | 2007-04-09 |
| Find all providers in zip 93560 | ||||
| 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 |
|---|---|---|---|---|
| 1013154889 | Heather Renee Baker | Dental Assistant | 2248 Westpark Dr, Rosamond, CA 93560-6863 | 2009-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779499 | Candelaria S Muro | Dental Assistant | 34390 Scotella Rd, Temecula, CA 92592-9352 | 2020-10-29 |
| 1609476647 | Corie Zenobia Rideau | Dental Assistant | 26511 Thoroughbred Ln, Moreno Valley, CA 92555-2965 | 2020-10-28 |
| 1255930921 | Darlene Marie Piltingsrud | Dental Assistant | 13128 14 Th St, Camp Pendelton, CA 92055-5221 | 2020-10-22 |
| 1770182529 | Virginia Santiago Williams | Dental Assistant | 21 Area Dental Clinic, Bldg 210735 C St, Camp Pendleton, CA 92055-5221 | 2020-10-22 |
| 1649878968 | Rosalyn Mendoza | Dental Assistant | 18264 Ramona Ave, Fontana, CA 92336-3060 | 2020-10-09 |
| 1700483062 | Alyssa R Mauro | Dental Assistant | 5681 Raintree Way, Oceanside, CA 92057-4813 | 2020-10-08 |
| 1588261119 | Andrea Conners | Dental Assistant | 13218 Avalon Blvd Apt 219, Los Angeles, CA 90061-2363 | 2020-10-06 |
| 1720695984 | Douglas Thomas Duncan | Dental Assistant | 92055- 14th Strret, Oceanside, CA 92055 | 2020-09-30 |
| 1548877004 | Juliaisa Gisselle Caldero | Dental Assistant | Bldg 13128, Oceanside, CA 92058 | 2020-09-29 |
| 1528675980 | Dora Louise Young | Dental Assistant | 92055 14th Street, Camp Pendleton, CA 92055 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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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.