MS. ERICA BERENICE LICEA


Address: 1342 W La Gloria Dr, Rialto, CA 92377-4466
Phone: 9514659162

MS. ERICA BERENICE LICEA (NPI# 1376002287) 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) 1376002287
Entity Type Individual
Full Name MS. ERICA BERENICE LICEA
Credential RDA ORTHO ASSISTANT
Practice Address 1342 W La Gloria Dr
Rialto
CA 92377-4466
Practice Telephone 9514659162
Mailing Telephone 9514659162
Enumeration Date 2019-03-19
Last Update Date 2019-03-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 126800000X Dental Assistant 66604 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 66604 05

Office Location

Street Address 1342 W LA GLORIA DR
City RIALTO
State CA
Zip Code 92377-4466

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1750451068 Jorge H Beber Psychiatry & Neurology 1100 South Akers Road, Ste 101, Visaliea, CA 92377 2006-11-08
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Taxonomy Information

Taxonomy Code 126800000X
Grouping Dental Providers
Classification Dental Assistant

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245864826 Marifer Hawkins Dental Assistant 1205 Renaissance Pkwy, Rialto, CA 92376-2417 2020-02-23
1033681549 Guillermina Viveros Rosas Dental Assistant 1205 Renaissance Pkwy Unit 420, Rialto, CA 92376-2417 2018-12-21
1700371390 Erica Maria Quinn Dental Assistant 1554 N Palm Ave, Rialto, CA 92376-3407 2018-06-26
1982846440 Erika Lashea Tarver Dental Assistant 301 W Winchester Dr, Apt4, Rialto, CA 92376-3354 2009-03-30
1831716570 Maeledah Rubalcava Dental Assistant 1205 Renaissance Pkwy Ste 240, Rialto, CA 92376-2418 2020-06-29
1467090514 Gilbert N/a Pena Dental Assistant 1205 Renaissance Pkwy Ste 240, Rialto, CA 92376-2418 2019-12-18
1033755251 Magdalena Victoria Bianchi Dental Assistant 1205 Renaissance Pkwy Ste 240, Rialto, CA 92376-2418 2019-11-22
1811451461 Andrew Carrillo Dental Assistant 1205 Renaissance Pkwy Ste 240, Rialto, CA 92376-2418 2019-01-29

Providers in the same taxonomy and state

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
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Competitor

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City RIALTO
Zip Code 92377

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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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