MARIA JOSE BLAZQUEZ-GOMEZ


Address: 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310
Phone: 7195265537

MARIA JOSE BLAZQUEZ-GOMEZ (NPI# 1659903235) 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) 1659903235
Entity Type Individual
Full Name MARIA JOSE BLAZQUEZ-GOMEZ
Practice Address 4th and Inner Loop Road
Bldg 171
Fort Irwin
CA 92310
Practice Telephone 7195265537
Practice Fax Number 7195242843
Mailing Telephone 7195265537
Mailing Fax Number 7195242843
Enumeration Date 2020-02-11
Last Update Date 2020-02-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 4TH AND INNER LOOP ROAD
BLDG 171
City FORT IRWIN
State CA
Zip Code 92310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851627012 Nha-nam Duc Do Dentist 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 2009-10-22
1841813292 Deja Leticia Gomez-lewis Dental Assistant 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 2020-05-20
1225650989 Nicholas Guajardo Bohling Dental Assistant 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 2020-05-15
1447872106 Mya Latrice Harris Dental Assistant 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 2020-05-15
1760018154 Nhat Truong Dental Assistant 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 2020-03-17
1831577105 Keri Lynn Brandt Dental Hygienist 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 2015-05-07
1932497500 Sung Soo Kim Dentist 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 2011-07-18
1245547520 Joshua Hyungkyu Lee Dentist 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 2010-09-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972100568 Kellyann Michelle Francis Dental Hygienist 171, 4th St., Fort Irwin, CA 92310 2020-10-06
1598362253 Lauren Elisabeth O'keefe Dental Hygienist 172 4th Street, Fort Irwin, CA 92310 2020-10-06
1215583737 Lyra Angelica Velayo Matin Marriage & Family Therapist Bldg 390 N Loop Road, Fort Irwin, CA 92310 2019-08-12
1003384629 Gary Barrow Chiropractor 390 Outerloop Rd, Fort Irwin, CA 92310 2018-11-13
1801373055 Lee John Bizon Jr. Nurse Practitioner 390 North Loop Rd, Fort Irwin, CA 92310 2018-07-20
1619489937 Ronda Marie Shiro Dental Assistant 171 Inner Loop Rpad, Fort Irwin, CA 92310 2017-10-26
1841713195 James Degroot Registered Nurse Weed Army Community Hospital 390 North Loop Rd., Fort Irwin, CA 92310 2017-07-19
1356897615 Alan Josiah Mills II Dental Assistant Bldg 171, 4th & Inner Loop Road, Fort Irwin, CA 92310 2016-08-28
1568917136 Kathryn Paine Physical Therapist Building 390, North Loop Rd, Fort Irwin, CA 92310 2016-08-23
1487003588 Kristyn Lauren Ollison Dental Assistant Bldg 248 A Meddac, Fort Irwin, CA 92310 2016-06-09
Find all providers in zip 92310

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
1710490511 Tiffany Leann Elsey Dental Assistant 4655 Omaha Beach St, Fort Irwin, CA 92310-1914 2017-11-15
1053824862 Marvy Blancaflor Walker Dental Assistant 5029 Calico Ct Apt B, Fort Irwin, CA 92310-2750 2017-11-15
1619489937 Ronda Marie Shiro Dental Assistant 171 Inner Loop Rpad, Fort Irwin, CA 92310 2017-10-26
1528570835 Andrea Smith Hamilton Dental Assistant 9089 Langford Lake Rd, Fort Irwin, CA 92310-2316 2017-10-26
1356897615 Alan Josiah Mills II Dental Assistant Bldg 171, 4th & Inner Loop Road, Fort Irwin, CA 92310 2016-08-28
1487003588 Kristyn Lauren Ollison Dental Assistant Bldg 248 A Meddac, Fort Irwin, CA 92310 2016-06-09
1841813292 Deja Leticia Gomez-lewis Dental Assistant 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 2020-05-20
1225650989 Nicholas Guajardo Bohling Dental Assistant 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 2020-05-15
1447872106 Mya Latrice Harris Dental Assistant 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 2020-05-15
1760018154 Nhat Truong Dental Assistant 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 2020-03-17
Find all providers in FORT IRWIN

Competitor

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City FORT IRWIN
Zip Code 92310

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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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