MICHELLE TAMAYO DENTINGER (NPI# 1285163691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285163691 |
| Entity Type | Individual |
| Full Name | MICHELLE TAMAYO DENTINGER |
| Credential | MD |
| Practice Address |
Naval Hospital Camp Pendleton 200 Mercy Circle Box 555191 Camp Pendleton CA 92005 |
| Mailing Address |
Po Box 555191 Camp Pendleton CA 92055-5191 |
| Practice Telephone | (650) 823-3795 |
| Mailing Telephone | 6508233795 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | VAD000000 | 05 |
| Street Address |
NAVAL HOSPITAL CAMP PENDLETON 200 MERCY CIRCLE BOX 555191 |
| City | CAMP PENDLETON |
| State | CA |
| Zip Code | 92005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952969966 | Taylor Joseph Samora-dietz | Student in an Organized Health Care Education/Training Program | Naval Hospital Camp Pendleton 200 Mercy Circle, #555191, Camp Pendleton, CA 92055 | 2019-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861636185 | Laural Vander Kooy Tubbs | Social Worker | 3150 El Camino Real, Suite C, Carlsbad, CA 92005 | 2009-04-30 |
| 1487815601 | Christal M Dickun | Emergency Medicine | 200 Mercy Circle, Building H200, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92005 | 2008-06-19 |
| 1588656532 | Regina R Albaladejo | Physical Therapist | Bldg H100, Santa Margarita Road Attn: Code Cs-pa, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92005 | 2005-08-16 |
| 1598911653 | Jaime Kirsten Lee | Student in an Organized Health Care Education/Training Program | Santa Margarita Road, Bldg H100, Naval Hospital, Camp Pendleton, Camp Pendleton, CA 92005-5191 | 2008-08-08 |
| 1841703543 | Christopher Andrew Hughes | Military Health Care Provider | 1st Marine Raider Battalion, Box # 555341, Apo, AA 92005-5341 | 2017-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730755 | Zaccary Griffin | Military Health Care Provider | Building 4101 Stuart Mesa Rd, Camp Pendleton, CA 92055 | 2020-11-02 |
| 1245830736 | Khalid Bey | Student in an Organized Health Care Education/Training Program | 1st Dnbn Attn: Credentials 555221, Camp Pendleton, CA 92055-5221 | 2020-10-26 |
| 1770182529 | Virginia Santiago Williams | Dental Assistant | 21 Area Dental Clinic, Bldg 210735 C St, Camp Pendleton, CA 92055-5221 | 2020-10-22 |
| 1346849163 | Ambrosia Evon Steljes | Dental Hygienist | Building 13128 14th Street, Camp Pendleton, CA 92055-5221 | 2020-10-22 |
| 1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1548869571 | Joshua Watersjackson | Specialist/Technologist | 430406 Las Pulgas, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1649879537 | David Michael Soliani | Military Health Care Provider | Bld 4101 Stuart Mesa Road, Camp Pendleton, CA 92055-5584 | 2020-10-21 |
| 1689271603 | Lorena Santodomingo | Dental Hygienist | Bldg 210735 C Street, Camp Pendleton, CA 92055 | 2020-10-02 |
| 1811504079 | Joanalyn Lopez Mojica | Dental Hygienist | 1st Dnbn Attn: Credentials, 555221, Camp Pendleton, CA 92055-5221 | 2020-09-30 |
| 1528675980 | Dora Louise Young | Dental Assistant | 92055 14th Street, Camp Pendleton, CA 92055 | 2020-09-29 |
| Find all providers in CAMP PENDLETON | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830736 | Khalid Bey | Student in an Organized Health Care Education/Training Program | 1st Dnbn Attn: Credentials 555221, Camp Pendleton, CA 92055-5221 | 2020-10-26 |
| 1508477530 | Brandon Michael Taylor | Student in an Organized Health Care Education/Training Program | 13 Adc Bldg 14th Street, Camp Pendleton, CA 92055 | 2020-08-13 |
| 1396265203 | Dennis William Chang | Student in an Organized Health Care Education/Training Program | 1st Den Bn/naval Dental Center, Box 555221, Camp Pendleton, CA 92055-5221 | 2017-06-21 |
| 1932550936 | Matthew Lawrence O'reilly | Student in an Organized Health Care Education/Training Program | 200 Mercy Circle, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055 | 2016-06-30 |
| 1154731206 | Leslie Jared Hyman | Student in an Organized Health Care Education/Training Program | 200 Mercy Circle Attention: Medical Staff Services, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055-5191 | 2014-04-29 |
| 1124450028 | Danielle Paige Berkowitz | Student in an Organized Health Care Education/Training Program | Building H100 Santa Margarita Rd, Camp Pendleton, CA 92055 | 2013-08-01 |
| 1245662147 | Joshua Heath Jones | Student in an Organized Health Care Education/Training Program | Building H-100 Santa Margarita Rd., Camp Pendleton, CA 92055 | 2013-08-01 |
| 1306278338 | David Mardell Harris | Student in an Organized Health Care Education/Training Program | Santa Margarita Road Building H100, Camp Pendleton, CA 92055 | 2013-08-01 |
| 1023366754 | Jason Christenson | Student in an Organized Health Care Education/Training Program | Nhcp, Box 555191, Camp Pendleton, CA 92055-5191 | 2012-08-28 |
| 1144593955 | Michelle Marie Cormier | Student in an Organized Health Care Education/Training Program | 5/11 Bas, 43505 A Street, 43 Area, Camp Pendleton, CA 92055-5534 | 2012-02-10 |
| Find all providers in CAMP PENDLETON | ||||
| City | CAMP PENDLETON |
| Zip Code | 92005 |
Please comment or provide details below to improve the information on MICHELLE TAMAYO DENTINGER.
| 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.