GINA A VANDERHORST


Address: 52 S Main St, Angels Camp, CA 95222
Phone: 2097546262

GINA A VANDERHORST (NPI# 1215585419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215585419
Entity Type Individual
Full Name GINA A VANDERHORST
Credential RDH
Practice Address 52 S Main St
Angels Camp
CA 95222
Mailing Address Po Box 939
Angels Camp
CA 95222-0939
Practice Telephone 2097546262
Mailing Telephone 2097546254
Enumeration Date 2019-08-30
Last Update Date 2019-08-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist RDH18003 CA Dental Providers

Office Location

Street Address 52 S MAIN ST
City ANGELS CAMP
State CA
Zip Code 95222

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417505918 Mact Health Board, Inc. Dentist 52 S Main Street, Suite B, Angels Camp, CA 95222 2019-08-28
1447747076 Christina Hauer Physical Therapist 457 S Main Street, Angels Camp, CA 95222 2018-04-19
1760832836 Kelli Marie Karr Physical Therapist 571 Stanislaus Ave, Ste F, Angels Camp, CA 95222 2016-06-20
1932522364 Donald Anthony St. Claire Sr. Internal Medicine 401 Albasio Ct., Angels Camp, CA 95222 2014-01-21
1760538532 Jane S Lucas Marriage & Family Therapist 1311 S. Main St., Suite C, Angels Camp, CA 95222 2007-01-26
1942362488 Nitya Prema Marriage & Family Therapist 1311 South Main St, Angels Camp, CA 95222 2006-12-14
1629011937 Longs Drug Stores California LLC Pharmacy 41 North Main St, Angels Camp, CA 95222 2006-06-14
1477596096 Robert Shelby Haymond Ophthalmology 1300 Kurt Dr, Ste 102, Angels Camp, CA 95222 2006-06-13
1710943469 Jeffrey Howard Schwartz Podiatrist 575 Stanislaus St., Suite C, Angels Camp, CA 95222 2006-04-21
1851371520 Chris H. Iwata Optometrist 595 Stanislaus St, Ste C, Angels Camp, CA 95222 2006-01-19
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

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NPI Name Taxonomy Address Enumeration
1346841046 Betty Satomi Fukumoto Dental Hygienist 16008 S Manhattan Pl, Gardena, CA 90247-3681 2020-11-08
1417558180 Maria Antonette De Lara Kim Dental Hygienist 66 S San Gorgonio Ave Ste 5, Banning, CA 92220-6020 2020-11-07
1083215982 Sokbunntha Yan Dental Hygienist 5810 Fidler Ave, Lakewood, CA 90712-1251 2020-11-06
1649871914 Maryam Ghahramani Shahneshin Dental Hygienist 1961 Grove Pl, Escondido, CA 92027-4101 2020-11-04
1285234047 Maryann Detar Dental Hygienist 3154 Alum Rock Ave, San Jose, CA 95127-2903 2020-10-29
1194325597 Connie Lim Good Dental Hygienist 14th Street Bldg 13128, Oceanside, CA 92055 2020-10-27
1336748896 Cynthia Garcia Macdougall Dental Hygienist 444 Hermosa Ave Apt 302, Hermosa Beach, CA 90254-4433 2020-10-25
1346849163 Ambrosia Evon Steljes Dental Hygienist Building 13128 14th Street, Camp Pendleton, CA 92055-5221 2020-10-22
1427657261 Julie Lynn March Dental Hygienist 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 2020-10-22
1386243327 Leticia Isabel Alcantar Dental Hygienist Bldg 520448, Camp Pendleton, CA 92055 2020-10-21
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Competitor

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City ANGELS CAMP
Zip Code 95222

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Dataset Information

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.

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