DR. LETICIA MEDINA (NPI# 1760606677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760606677 |
| Entity Type | Individual |
| Full Name | DR. LETICIA MEDINA |
| Credential | D.D.S |
| Practice Address |
2323 De La Vina St 207 Santa Barbara CA 93105-3877 |
| Practice Telephone | 8056871106 |
| Practice Fax Number | 8056875886 |
| Mailing Telephone | 8056871106 |
| Mailing Fax Number | 8056875886 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
39448 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932713930 | Leticia Medina | Massage Therapist | 2310 N Keating Ave, Chicago, IL 60639-3334 | 2020-09-07 |
| 1568967693 | Leticia Medina | Counselor | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2018-03-29 |
| Street Address |
2323 DE LA VINA ST 207 |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93105-3877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912991662 | Dennis B Phelps | Orthopaedic Surgery | 2323 De La Vina St, Suite 208, Santa Barbara, CA 93105-3877 | 2005-09-08 |
| 1659755791 | Alicia Kenly Brown | Physician Assistant | 2323 De La Vina St, Suite 201, Santa Barbara, CA 93105-3877 | 2015-07-18 |
| 1396138103 | Farida Bounoua Md Inc | Surgery | 2323 De La Vina St, Suite 207, Santa Barbara, CA 93105-3877 | 2015-03-18 |
| 1407245665 | Dennis B Phelps Md Inc | Orthopaedic Surgery | 2323 De La Vina St, Suite 208, Santa Barbara, CA 93105-3877 | 2015-01-12 |
| 1447569298 | Jennifer Laur | Occupational Therapist | 2323 De La Vina St, Suite 106, Santa Barbara, CA 93105-3877 | 2010-09-28 |
| 1376705020 | Hand Health Resources Inc | Orthotic Fitter | 2323 De La Vina St, Ste 106a, Santa Barbara, CA 93105-3877 | 2008-06-25 |
| 1669677027 | Montana Rehabilitation Therapy | Durable Medical Equipment & Medical Supplies | 2323 De La Vina St, 106, Santa Barbara, CA 93105-3877 | 2007-06-18 |
| 1992925564 | Farida Bounoua | Surgery | 2323 De La Vina St, Suite 207, Santa Barbara, CA 93105-3877 | 2007-04-26 |
| 1902020977 | Roberto Augusto Pacheco | Dentist | 2323 De La Vina St, Suite # 207, Santa Barbara, CA 93105-3877 | 2007-04-12 |
| 1861510471 | Stuart Jiro Sato | Dentist | 2323 De La Vina St, Suite # 203, Santa Barbara, CA 93105-3877 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716307 | Christopher Robert Ray Hyde | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital- Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
| 1023635562 | Yana Gristan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital - Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
| 1346867918 | Neelima Archana Mohan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital-medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
| 1861019358 | Jerry Peng Jiang | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital -medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
| 1073153250 | California Telemedicine Associates, P.C. | Pediatrics | 2830 Glendessary Lane, Santa Barbara, CA 93105 | 2020-01-15 |
| 1275190233 | Paul Seo | Student in an Organized Health Care Education/Training Program | Sbch Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2019-05-24 |
| 1174009062 | Hannah Wilks Kornfeld | Student in an Organized Health Care Education/Training Program | Sbch, Surgical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-07-14 |
| 1174010896 | Thuthiri Thandar Lwin | Student in an Organized Health Care Education/Training Program | Sbch Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-04-18 |
| 1649771056 | Jeremy Middleton | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-02-22 |
| 1720593502 | Spencer E Price | Radiology | 400 W Pueblo St Dept Of, Santa Barbara, CA 93105 | 2017-12-03 |
| Find all providers in zip 93105 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720608664 | Ferris Dental PC | Dentist | 3740 State Street, Santa Barbara, CA 93105-9310 | 2020-04-21 |
| 1861414161 | Steven Roger Aylard | Dentist | 2420 Calle Almonte, Santa Barbara, CA 93109 | 2006-07-24 |
| 1174512628 | George E Lyman | Dentist | 122 S Patterson Ave, Suite 113, Santa Barbara, CA 93111-2055 | 2005-10-18 |
| 1073903183 | Ilapogu and Nobel Dental Partnership | Dentist | 2780 State St, Suite 5, Santa Barbara, CA 93105-5518 | 2015-01-27 |
| 1184825317 | Steven Nicholas Mascagno | Dentist | 2780 State St, Suite 5, Santa Barbara, CA 93105-5518 | 2007-05-28 |
| 1245327733 | Robert R. Ruby | Dentist | 15 E Arrellaga St, Suite 4, Santa Barbara, CA 93101-2531 | 2006-10-06 |
| 1770670168 | Yvonne M. Rochon | Dentist | 15 E Arrellaga St, Suite 4, Santa Barbara, CA 93101-2531 | 2006-10-06 |
| 1306864210 | Daniel Christopher Purdy | Dentist | 504 W Pueblo St, Suite 101, Santa Barbara, CA 93105-6211 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
| 1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
| 1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
| 1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
| City | SANTA BARBARA |
| Zip Code | 93105 |
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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.