NICOLE LEE GIBSON (NPI# 1790070712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790070712 |
| Entity Type | Individual |
| Full Name | NICOLE LEE GIBSON |
| Credential | R.D.H. |
| Practice Address |
1406 N Azusa Ave Unit #c Covina CA 91722-1257 |
| Mailing Address |
1537 W San Bernardino Rd Apt. #c West Covina CA 91790-1016 |
| Practice Telephone | 6268589940 |
| Practice Fax Number | 6268589366 |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 23400 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649641218 | Nicole Alyssa Gibson | Counselor | 719 Klemont Ave, Pittsburgh, PA 15202-1132 | 2015-10-08 |
| 1295211449 | Nicole Gibson | Pharmacist | 11550 Page Service Dr, Saint Louis, MO 63146-3531 | 2018-07-11 |
| 1114438611 | Nicole Marie Gibson | Clinic/Center | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2017-10-24 |
| 1538532106 | Nicole Gibson | Counselor | 315 S College Rd Ste 100, Lafayette, LA 70503-3213 | 2015-11-04 |
| 1780065235 | Nicole Marie Gibson | Speech-Language Pathologist | 2001 N Kingshighway St, Cape Girardeau, MO 63701-2127 | 2015-06-10 |
| 1982856860 | Nicole Gibson | Physical Therapy Assistant | 420 Pulaski Dr, Pottsville, PA 17901-3634 | 2008-10-22 |
| 1912037425 | Nicole Dionne Gibson | Marriage & Family Therapist | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2007-03-06 |
| 1366480139 | Nicole Gibson | Nurse Practitioner | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2006-06-03 |
| Street Address |
1406 N AZUSA AVE UNIT #C |
| City | COVINA |
| State | CA |
| Zip Code | 91722-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528161775 | Fariba Sardarian | Dentist | 1406 N Azusa Ave, Suite C, Covina, CA 91722-1257 | 2006-09-06 |
| 1396112132 | Alicia Ann Esquer | Dental Assistant | 1406 N Azusa Ave, Suite C, Covina, CA 91722-1257 | 2015-08-27 |
| 1225415094 | Sharareh Mirhosseini | Dental Hygienist | 1406 N Azusa Ave, Are.c, Covina, CA 91722-1257 | 2015-04-30 |
| 1831337690 | Nancy Becerril | Dental Assistant | 1406 N Azusa Ave, Suite C, Covina, CA 91722-1257 | 2009-01-30 |
| 1982842456 | Mayra Raquel Reynosa | Dental Assistant | 1406 N Azusa Ave, Covina, CA 91722-1257 | 2009-01-22 |
| 1588801674 | Lawrence Wenceslao Saraos | Dental Assistant | 1406 N Azusa Ave, Suite C, Covina, CA 91722-1257 | 2009-01-12 |
| 1033355045 | David Reyes | Dental Assistant | 1406 N Azusa Ave, Covina, CA 91722-1257 | 2008-12-22 |
| 1861616195 | Sol Cohen-sedgh Dental Corporation | Dentist | 1406 N Azusa Ave, Suite C, Covina, CA 91722-1257 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083072607 | Lauren Rae Ramos | Dental Assistant | 1406 N Azuza Ave, Sute C, Covina, CA 91722 | 2016-02-10 |
| 1841674983 | John Catania | Case Manager/Care Coordinator | 4670 North Hollenbeck Ave, Covina, CA 91722 | 2015-07-18 |
| 1255615522 | Abbassi Johnson Professional Corporation | Dentist | 558 W Badillo St, Covina, CA 91722 | 2011-10-05 |
| 1528207982 | Adriana Luna | Dental Assistant | 1406 N. Azusa Ave., Suite C, Covina, CA 91722 | 2009-02-09 |
| 1295984805 | Sima Khavaran | Dentist | 546 W. Badillo St., Suite C, Covina, CA 91722 | 2008-09-18 |
| 1538361753 | Adriana Inez Camargo-fernandez | Psychologist | 599 S. Baranca, Suitel104, Covina, CA 91722 | 2007-06-01 |
| 1740498591 | Yolanda Bulaon Dycoco-esguerra | Dentist | 546 West Badillo Street, Suite E, Covina, CA 91722 | 2007-05-17 |
| 1225150543 | Michael C Huang | Dentist | 520 West Badillo Street, Covina, CA 91722 | 2007-04-06 |
| 1801914874 | Harry Humphreys Dds Inc | Dentist | 558 West Badillo, Covina, CA 91722 | 2007-03-27 |
| 1881755411 | Helen Louise Taylor | Physician Assistant | 1433 N. Hollenbeck Avenue, Suite 200, Covina, CA 91722 | 2006-12-13 |
| Find all providers in zip 91722 | ||||
| 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 |
|---|---|---|---|---|
| 1194347740 | Orapin Chong | Dental Hygienist | 2935 N Monte Verde Dr, Covina, CA 91724-3837 | 2020-05-16 |
| 1679137335 | Allison Ann Cuevas | Dental Hygienist | 342 E Italia St, Covina, CA 91723-2203 | 2019-04-29 |
| 1336383454 | Debra Anne Hartman | Dental Hygienist | 20229 E Lorencita Dr, Covina, CA 91724-3834 | 2009-04-21 |
| 1225415094 | Sharareh Mirhosseini | Dental Hygienist | 1406 N Azusa Ave, Are.c, Covina, CA 91722-1257 | 2015-04-30 |
| 1326365248 | Debra Anne Hartman Professional Dental Hygiene Corporation | Dental Hygienist | 20229 E Lorencita Dr, Covina, CA 91724-3834 | 2010-05-02 |
| 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 | ||||
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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.