BALTAZAR MENDOZA


Address: 7691 El Chaco Drive, Buena Park, CA 90620
Phone: 5629128307

BALTAZAR MENDOZA (NPI# 1942531447) 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) 1942531447
Entity Type Individual
Full Name BALTAZAR MENDOZA
Credential R.D.A
Practice Address 7691 El Chaco Drive
Buena Park
CA 90620
Mailing Address 7691 El Chaco Dr
Buena Park
CA 90620-1807
Practice Telephone 5629128307
Mailing Telephone 5629128307
Enumeration Date 2010-01-22
Last Update Date 2010-01-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 126800000X Dental Assistant 68051 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA CALIFORNIA DENTAL BOARD 68051 01

Office Location

Street Address 7691 EL CHACO DRIVE
City BUENA PARK
State CA
Zip Code 90620

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1346889110 Soon Ae Yoon Acupuncturist 8600 Beach Blvd. #104, Buena Park, CA 90620 2019-12-27
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1730608118 Arpita Bhavsar Pharmacist 7072 Santa Marta Circle, Buena Park, CA 90620 2017-09-16
1740715663 Gabriela Peinado Assistant Behavior Analyst 8669 Holder St, Buena Park, CA 90620 2017-04-28
1679958862 Aum Pharmacy Corporation Pharmacy 6970 Aragon Circle, # 3, Buena Park, CA 90620 2015-07-29
1457600330 Daniel D. Chung Dds Inc Dentist 8884 Knott Ave., Buena Park, CA 90620 2012-09-06
1760509947 Marcela Torralba Espiritu Dentist 7540 Orangethorpe Ave, C4, Buena Park, CA 90620 2007-03-23
1508924457 Randall Tay Kanemaki Dentist 8751 Valley View Street, Suite B, Buena Park, CA 90620 2006-12-04
1346338282 J and P Homes Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6891 San Pedro Circle, Buena Park, CA 90620 2006-10-10
1558462739 Don Bruce Nguyen Dentist 7938 Valley View St, Buena Park, CA 90620 2006-09-26
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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
1205490364 Araceli Tapia Dental Assistant 8381 La Palma Ave Ste B, Buena Park, CA 90620-3271 2019-04-24
1740652593 Erick Ernesto Garcia Dental Assistant 6372 Los Robles Ave, Buena Park, CA 90621-3055 2015-10-20
1356954564 Berenice Morales Dental Assistant 8381 La Palma Ave Ste B, Buena Park, CA 90620-3271 2020-08-26
1265070106 Adrina Lange-gomez Dental Assistant 8381 La Palma Ave, Buena Park, CA 90620-3271 2019-12-11
1689159568 Haena Yu So Dental Assistant 7212 Orangethorpe Ave Ste 9a, Buena Park, CA 90621-4668 2018-09-26
1356879225 Lilibeth Macaraeg Francisco Dental Assistant 8381 La Palma Ave Ste B&c, Buena Park, CA 90620-3271 2017-05-23
1972916252 Gina Karin Jauregui Dental Assistant 8381 La Palma Ave, Buena Park, CA 90620-3271 2014-06-04
1467798074 Debra Hernandez Dental Assistant 8381 La Palma Ave, Suite B&c, Buena Park, CA 90620-3271 2012-12-31
1861798050 Edith Lorena Uribe Dental Assistant 8381 La Palma Ave, Buena Park, CA 90620-3271 2011-02-04
1811134497 Eduardo Ulises Vizcarra Dental Assistant 8381 La Palma Ave, Suite B & C, Buena Park, CA 90620-3271 2009-01-19
Find all providers in BUENA PARK

Competitor

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City BUENA PARK
Zip Code 90620

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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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