ANTOLIN CASTRO IMUL (NPI# 1891241394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891241394 |
| Entity Type | Individual |
| Full Name | ANTOLIN CASTRO IMUL |
| Credential | RDA |
| Practice Address |
5162 Whittier Blvd Los Angeles CA 90022-3932 |
| Mailing Address |
446 Linden Ave Apt 10 Long Beach CA 90802-2521 |
| Practice Telephone | 3234156161 |
| Mailing Telephone | 5627537806 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 68991 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 68991 | 05 |
| Street Address |
5162 WHITTIER BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90022-3932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205903903 | Julio Iniguez | Dentist | 5162 Whittier Blvd, Los Angeles, CA 90022-3932 | 2006-11-29 |
| 1346893468 | Juan Jose Gonzalez Bonifacio | Dental Assistant | 5162 Whittier Blvd, Los Angeles, CA 90022-3932 | 2019-07-17 |
| 1760961403 | Sergio Ramirez Jr. | Dental Assistant | 5162 Whittier Blvd, Los Angeles, CA 90022-3932 | 2018-08-13 |
| 1629519228 | Kanisha Goldsmith | Dental Assistant | 5162 Whittier Blvd, Los Angeles, CA 90022-3932 | 2017-03-15 |
| 1992031520 | Victor S Ramirez | Dental Assistant | 5162 Whittier Blvd, Los Angeles, CA 90022-3932 | 2009-11-02 |
| 1699917914 | Marisela Arteaga | Dental Assistant | 5162 Whittier Blvd, Los Angeles, CA 90022-3932 | 2009-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700405701 | Altamed Health Services Corp | Pharmacy | 972 Goodrich Blvd Rm 100, Los Angeles, CA 90022 | 2020-04-10 |
| 1033699426 | Reachwell Home Health Inc | Home Health | 236 1/4 S Atlantic Blvd, Los Angeles, CA 90022 | 2018-08-15 |
| 1326528704 | Shelli Hernandez | Community Health Worker | Enki Health & Research Systems Inc., 1000 Goodrich Blvd., Commerce, CA 90022 | 2018-08-15 |
| 1477071660 | East Los Angeles Womens Center | Counselor | 1431 S. Atlantic Blvd, Los Angeles, CA 90022 | 2017-09-07 |
| 1467974824 | Ena Vilma Hernandez | Registered Nurse | 245 S Fetterly St, Los Angeles, CA 90022 | 2017-07-07 |
| 1437688843 | Maud D Legaspi | Social Worker | 5425 E. Pomona Blvd, Los Angeles, CA 90022 | 2017-06-08 |
| 1548793920 | Harbor Chiropractic, Inc., A Bahan Company | Chiropractor | 5301 Whittier Blvd, Atrium Lower Level, Los Angeles, CA 90022 | 2017-04-04 |
| 1326590423 | Via Care Community Health Center | Clinic/Center | 501 S. Woods Ave, Los Angeles, CA 90022 | 2016-10-25 |
| 1780057950 | Monica Poomiwatracanont | Pharmacist | 5176 E. Whittier Blvd., Los Angeles, CA 90022 | 2015-11-10 |
| 1609277433 | Ethan C. A Lee Dental Inc. | Dentist | 6046 Whittier Blvd., Los Angeles, CA 90022 | 2014-09-11 |
| Find all providers in zip 90022 | ||||
| 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 |
|---|---|---|---|---|
| 1588261119 | Andrea Conners | Dental Assistant | 13218 Avalon Blvd Apt 219, Los Angeles, CA 90061-2363 | 2020-10-06 |
| 1821604539 | Liliana Manzo | Dental Assistant | 2435 West Blvd, Los Angeles, CA 90016-1660 | 2020-09-17 |
| 1730707548 | Elizabeth Rivera | Dental Assistant | 316 E 25th St, Los Angeles, CA 90011-1406 | 2020-07-08 |
| 1801413778 | Catherine Johnson | Dental Assistant | 325 E 102nd St, Los Angeles, CA 90003-4811 | 2020-06-26 |
| 1366065682 | Nayelly Ruby Gutierrez | Dental Assistant | 149 S Kern Ave, Los Angeles, CA 90022-1626 | 2020-05-20 |
| 1104449511 | Noemi Paredes | Dental Assistant | 3838 1/2 Crawford St, Los Angeles, CA 90011-2889 | 2020-05-19 |
| 1548802887 | David Octavio Torres | Dental Assistant | 1323 E 78th St, Los Angeles, CA 90001-3015 | 2019-10-08 |
| 1821654633 | Maria R Rangel | Dental Assistant | 6215 Holmes Ave, Los Angeles, CA 90001-1821 | 2019-05-16 |
| 1215498167 | Eufemia Gracia | Dental Assistant | 2346 S Cloverdale Ave, Los Angeles, CA 90016-2121 | 2019-03-25 |
| 1326528563 | Geremias Aguilar Jr. | Dental Assistant | 481 E Avenue 28 Apt 4, Los Angeles, CA 90031-2076 | 2018-08-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90022 |
Please comment or provide details below to improve the information on ANTOLIN CASTRO IMUL.
| 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.