MR. RANDY RAYMUNDO PENOLIAR (NPI# 1053923540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053923540 |
| Entity Type | Individual |
| Full Name | MR. RANDY RAYMUNDO PENOLIAR |
| Credential | RDA |
| Practice Address |
15350 Nordhoff St Unit A15350 North Hills CA 91343-2234 |
| Practice Telephone | 8187248416 |
| Mailing Telephone | 8187248416 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
15350 NORDHOFF ST UNIT A15350 |
| City | NORTH HILLS |
| State | CA |
| Zip Code | 91343-2234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261681 | Esperanza Armenta | Case Manager/Care Coordinator | 16861 Parthenia Street, North Hills, CA 91343 | 2020-09-30 |
| 1295355758 | Island One and Associates | Social Worker | 9528 Lemona Ave, North Hills, CA 91343 | 2020-04-24 |
| 1154951416 | Estefanie Ramos | Case Manager/Care Coordinator | 16861 Parthenia St., North Hills, CA 91343 | 2020-01-24 |
| 1336793728 | Mitra Minovi | Dentist | 9444 Ruffner Ave, Northridge, CA 91343 | 2019-07-24 |
| 1649762600 | Reza Akbar, Dds, Inc. | Dentist | 15300 Parthenia St, North Hills, CA 91343 | 2018-06-05 |
| 1073002663 | Golmah Zarinkhou | Student in an Organized Health Care Education/Training Program | Va Sepulveda Ambulatory Care Center, 16111 Plummer, Street Dental Services (160), Bldg 10 Rm 1c-100, North Hills, CA 91343 | 2018-05-09 |
| 1740729037 | Ophelia Sanchez | Case Manager/Care Coordinator | 15305 Rayen, North Hills, CA 91343 | 2017-02-20 |
| 1386001519 | Ada Angeles | Dietitian, Registered | 15210 Parthenia, North Hills, CA 91343 | 2016-01-19 |
| 1043691371 | Valley Grace Home, Inc. | Skilled Nursing Facility | 16052 Chase St, North Hills, CA 91343 | 2015-06-11 |
| 1063828234 | Joshua Tree Healthcare, Inc. | Home Health | 16909 Parthenia St Ste 302a, Northridge, CA 91343 | 2014-07-08 |
| Find all providers in zip 91343 | ||||
| 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 |
|---|---|---|---|---|
| 1366971962 | Sonia Tellez | Dental Assistant | 15350 Nordhoff St Unit A, North Hills, CA 91343-2234 | 2017-06-07 |
| 1891005997 | Rosa Morales | Dental Assistant | 15350 Nordhoff St Ste A, North Hills, CA 91343-2234 | 2010-10-07 |
| 1093957367 | Pamela Hawara | Dental Assistant | 15350 Nordhoff St., North Hills, CA 91343 | 2009-04-01 |
| 1992319057 | Mahideh Soleimani | Dental Assistant | 15350 Nordhoff St Ste A, North Hills, CA 91343-2234 | 2020-09-04 |
| 1114531423 | Adriana Vanessa Martinez | Dental Assistant | 15350 Nordhoff St Ste A, North Hills, CA 91343-2234 | 2020-09-03 |
| 1386266476 | Marcos Antonio Duran Sr. | Dental Assistant | 15350 Nordhoff St Unit A, North Hills, CA 91343-2234 | 2020-05-11 |
| 1689152993 | Maritza Ramos | Dental Assistant | 15350 Nordhoff St Unit A, North Hills, CA 91343-2234 | 2018-07-31 |
| 1285134551 | Joelle Perez | Dental Assistant | 15350 Nordhoff St, North Hills, CA 91343-2234 | 2018-02-13 |
| 1639629157 | Selena Marie Diaz | Dental Assistant | 15350 Nordhoff St Ste A, North Hills, CA 91343-2234 | 2016-10-07 |
| 1851844153 | Wendy Karina Sanchez Muro | Dental Assistant | 15350 Nordhoff St, Ste A, North Hills, CA 91343-2234 | 2016-08-03 |
| Find all providers in NORTH HILLS | ||||
| City | NORTH HILLS |
| Zip Code | 91343 |
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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.