MISS JACQUELINE MUNOZ (NPI# 1639474380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639474380 |
| Entity Type | Individual |
| Full Name | MISS JACQUELINE MUNOZ |
| Credential | RDH |
| Practice Address |
1600 San Fernando Rd San Fernando CA 91340-3115 |
| Mailing Address |
1052 W 43rd St Los Angeles CA 90037-2403 |
| Practice Telephone | 8183658086 |
| Practice Fax Number | 8188984826 |
| Mailing Telephone | 3232320068 |
| Mailing Fax Number | 3232320068 |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 25278 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689297806 | Jacqueline Mercedes Munoz | Dietitian, Registered | 4308 Marcus Uribe Dr, El Paso, TX 79934-3721 | 2020-05-21 |
| 1306206461 | Jacqueline Munoz | Nurse Anesthetist, Certified Registered | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2016-03-02 |
| 1679685713 | Jacqueline Munoz | Nurse Practitioner | 10 Calle Casia, San Juan, PR 00921-3200 | 2006-08-31 |
| Street Address |
1600 SAN FERNANDO RD |
| City | SAN FERNANDO |
| State | CA |
| Zip Code | 91340-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942201769 | Nasser Baradaran | Obstetrics & Gynecology | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2005-08-02 |
| 1760080915 | Yvonne Shih | Nurse Practitioner | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2020-10-10 |
| 1316422017 | Etsuko Takehana Jacobs | Nurse Practitioner | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2018-09-27 |
| 1326528050 | Emily Jean Weitzel | Pediatrics | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2018-08-21 |
| 1750874434 | Oliver Ubeda | Pharmacist | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2018-06-07 |
| 1356834022 | Armine Movsesyan | Pharmacist | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2018-06-07 |
| 1104318914 | Larisa Gorelik | Pharmacist | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2018-06-06 |
| 1245777176 | Leonard A Feigenbaum Md A Medical Corporation | Radiology | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2017-01-30 |
| 1972976827 | Artashes Rubik Khachatryan | Pharmacist | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2015-11-01 |
| 1104229616 | Aqeela Athar | Dental Hygienist | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2014-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844301 | Atalla Dental Corp. | Clinic/Center | 557 N. Maclay Ave., San Fernando, CA 91340 | 2020-02-26 |
| 1235623190 | Kohan & Rodef Dental Corporation | Dentist | 500 San Fernardo Mission Blvd Suite #2, San Fernardo, CA 91340 | 2018-06-14 |
| 1700388766 | North Valley Diagnostics Services, Inc. | Electrodiagnostic Medicine | 670 San Fernando Mission Blvd, #d, San Fernando, CA 91340 | 2018-03-06 |
| 1750889531 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 1204 San Fernando Rd, San Fernando, CA 91340 | 2018-01-26 |
| 1689118598 | Maira Yesenia Lopez | Counselor | 565 S. Brand Blvd, San Fernando, CA 91340 | 2016-12-12 |
| 1386042166 | Afsaneh Mazaheri-sichani | Dentist | 777 Turman St., Suite 107, San Fernando, CA 91340 | 2014-12-11 |
| 1396154167 | Lorena Tercero | Marriage & Family Therapist | 302 S. Brand Blvd, San Fernando, CA 91340 | 2014-08-06 |
| 1689082836 | Germine Aznavour | Pharmacist | 12920 Foothill Blvd, San Fernando, CA 91340 | 2014-07-31 |
| 1841605151 | Aswani Dental Corporation | Clinic/Center | 12940 Foothill Blvd Ste C, San Fernando, CA 91340 | 2014-06-25 |
| 1467705624 | Brenda Lira | Social Worker | 11565 Laurel Canyon Blvd., Suite 116, San Fernando, CA 91340 | 2012-10-24 |
| Find all providers in zip 91340 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023400108 | Andrea Figueroa | Dental Hygienist | 900 Harding Ave, San Fernando, CA 91340-1744 | 2015-02-25 |
| 1164659272 | Elizabeth F. Hermosillo | Dental Hygienist | 12670 Cometa Ave, San Fernando, CA 91340-1148 | 2009-06-16 |
| 1104229616 | Aqeela Athar | Dental Hygienist | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2014-09-29 |
| 1851557946 | Josie Cinco Dizon | Dental Hygienist | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2008-07-29 |
| 1740467067 | Beth Diane Davis | Dental Hygienist | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2008-01-29 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SAN FERNANDO |
| Zip Code | 91340 |
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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.