LEESETTE DE SANTIAGO (NPI# 1720530744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720530744 |
| Entity Type | Individual |
| Full Name | LEESETTE DE SANTIAGO |
| Credential | RDA |
| Practice Address |
6130 Camino Real #12 Riverside CA 92509 |
| Practice Telephone | 9512242253 |
| Mailing Telephone | 9512242253 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 60639 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 60639 | 05 |
| Street Address |
6130 CAMINO REAL #12 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043646383 | Andy R Moreno | Counselor | 7790 Big Rock Dr., Riverside, CA 92509 | 2013-09-18 |
| 1275845018 | Myra Agnes Harrison | Pharmacist | 8015 Limonete, Rite Aid, Riverside, CA 92509 | 2010-07-09 |
| 1740424415 | Lin Chew Ota | Obstetrics & Gynecology | 6250 Clay Street, Riverside, CA 92509 | 2009-04-27 |
| 1164660106 | Ramona Jean Carver | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Riverside, CA 92509 | 2009-01-29 |
| 1568627925 | Lisa Anne Razo | Marriage & Family Therapist | 6580 45th St, Riverside, CA 92509 | 2008-07-25 |
| 1215106810 | Xia L. Liu Professional Dentl Corp | Dentist | 8880 Limonite Ave, Pedley, CA 92509 | 2008-02-27 |
| 1467658385 | Riverside County Rubidoux Pharmacy | Pharmacy | 5256 Mission Ave, Rubidoux, CA 92509 | 2007-06-26 |
| 1366644429 | Cynthia Stover | Physician Assistant | 5256 Mission Boulevard, Riverside, CA 92509 | 2007-06-01 |
| 1942327499 | Sober Living By The Sea, Inc | Substance Abuse Rehabilitation Facility | 6690 Limonite Frontage Rd, Riverside, CA 92509 | 2007-03-22 |
| 1124154513 | Glenn Wesley Stevens | Dentist | 4955 K Felspar St, Riverside, CA 92509 | 2007-02-27 |
| Find all providers in zip 92509 | ||||
| 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 |
|---|---|---|---|---|
| 1932713328 | Nancy Alejandra Cortes | Dental Assistant | 2862 Canyon Springs Pkwy Ste B, Riverside, CA 92507-0928 | 2020-09-02 |
| 1588275291 | Darek Ray Fonder | Dental Assistant | 2862 Canyon Springs Pkwy, Riverside, CA 92507-0928 | 2020-08-14 |
| 1932699048 | Rosalina A Rangel | Dental Assistant | 3380 La Sierra Ave # 1018, Riverside, CA 92503-5271 | 2018-05-14 |
| 1093240665 | Daniel Gutierrez Solis | Dental Assistant | 5355 Kent Ave, Riverside, CA 92503-2428 | 2017-04-20 |
| 1134570583 | Jessica Carmenate | Dental Assistant | 11137 Oriole Dr, Riverside, CA 92505-2430 | 2016-06-27 |
| 1114394970 | Linda Rocio Galdamez | Dental Assistant | 11251 Reddiford Ct, Riverside, CA 92505-2340 | 2015-08-27 |
| 1508100272 | Maria Verdin | Dental Assistant | 11136 Oriole Dr, Riverside, CA 92505-2430 | 2012-11-20 |
| 1770888109 | Nancy B. Gomez | Dental Assistant | 17886 Orangewood Ln, Riverside, CA 92503-7061 | 2011-01-15 |
| 1780826081 | Nicole R Rector | Dental Assistant | 11975 Herman Dr, Riverside, CA 92505-3715 | 2009-04-01 |
| 1235377219 | Kesia Nichole Davis Eaglin | Dental Assistant | 2483 Bunche Pl, Riverside, CA 92507-5710 | 2009-01-28 |
| Find all providers in RIVERSIDE | ||||
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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.