CHRYSTAL AMALIA COLON (NPI# 1649735242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649735242 |
| Entity Type | Individual |
| Full Name | CHRYSTAL AMALIA COLON |
| Credential | RDA |
| Practice Address |
12730 Hawthorne Blvd Ste D Hawthorne CA 90250-3919 |
| Mailing Address |
1109 Pacific Ave Long Beach CA 90813-3023 |
| Practice Telephone | 3102200914 |
| Mailing Telephone | 5624543353 |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 74919 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 74919 | 05 |
| Street Address |
12730 HAWTHORNE BLVD STE D |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386868503 | Susan Manavi, Dds, Inc | Dentist | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2007-04-11 |
| 1891331302 | Nancy Orjiakor | Dental Hygienist | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2019-11-19 |
| 1538638796 | West Coast Dental | Dental Hygienist | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2018-11-16 |
| 1790279222 | Rhonda Gaba | Dental Assistant | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2018-06-18 |
| 1720576119 | Javier Hernandez | Dental Assistant | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2018-05-01 |
| 1255770343 | Sherwin Jerome Taylor | Dental Hygienist | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2013-06-21 |
| 1790123966 | Westcoast Dental | Dental Hygienist | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2013-06-11 |
| 1720324494 | Cohen Sedgh, Manavi & Pakravan Dental Corporation | Dentist | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2012-12-27 |
| 1942514468 | Octavio Maldonado | Dental Assistant | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2010-07-27 |
| 1992943922 | Ana E Gonzalez | Dental Assistant | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2009-01-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| 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 |
|---|---|---|---|---|
| 1932718277 | Brenda Joseph | Dental Assistant | 3601 W Rosecrans Ave Apt 62, Hawthorne, CA 90250-8147 | 2020-07-22 |
| 1992350359 | Carla Denise Cannon | Dental Assistant | 14030 Chadron Ave Apt 219, Hawthorne, CA 90250-8247 | 2019-08-02 |
| 1912464033 | Larisa Breana Williams | Dental Assistant | 13808 Cerise Ave Apt 14, Hawthorne, CA 90250-8722 | 2019-02-25 |
| 1861630337 | Aida A Medina-flores | Dental Assistant | 12730 Hawthorne Blvd, D, Hawthorne, CA 90250-3919 | 2009-01-21 |
| 1629624523 | Ruby Alvarez | Dental Assistant | 12730 Hawthorne Blvd, Hawthorne, CA 90250-3919 | 2019-08-15 |
| 1639650237 | Cristina Galindo | Dental Assistant | 12730 Hawthorne Blvd, Hawthorne, CA 90250-3919 | 2018-08-22 |
| 1790279222 | Rhonda Gaba | Dental Assistant | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2018-06-18 |
| 1720576119 | Javier Hernandez | Dental Assistant | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2018-05-01 |
| 1134408560 | Mylene Palencia Fernan | Dental Assistant | 12730 Hawthorne Blvd, Suite D, Hawthorne, CA 90250-3919 | 2011-08-16 |
| 1942514468 | Octavio Maldonado | Dental Assistant | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2010-07-27 |
| Find all providers in HAWTHORNE | ||||
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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.