MRS. KEYAH EUBANKS (NPI# 1124540406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124540406 |
| Entity Type | Individual |
| Full Name | MRS. KEYAH EUBANKS |
| Practice Address |
12987 Clovis Ct Hesperia CA 92344-5528 |
| Mailing Address |
12987 Clovis Ct Hesperia CA 92344 |
| Practice Telephone | (562) 507-6605 |
| Mailing Telephone | 5625076605 |
| Enumeration Date | 2017-07-08 |
| Last Update Date | 2017-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 126800000X | Dental Assistant | Dental Providers | ||
| N | 172A00000X | Driver | Other Service Providers | ||
| N | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 246QM0900X |
Spec/Tech, Pathology Specialization: Microbiology |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 246RM2200X |
Technician, Pathology Specialization: Medical Laboratory |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 347E00000X | Transportation Broker | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 0000 | 05 |
| Street Address |
12987 CLOVIS CT |
| City | HESPERIA |
| State | CA |
| Zip Code | 92344-5528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194247494 | Onyx Medical Staffing | Clinical Medical Laboratory | 12987 Clovis Ct, Hesperia, CA 92344-5528 | 2017-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639246 | Carolyn Susan Shaw | Technician | 13312 Ranchero Rd #533, Oak Hills, CA 92344 | 2019-10-07 |
| 1821587684 | Joseph Mica Benavides | Licensed Practical Nurse | 6425 Columbine Rd., Oak Hills, CA 92344 | 2018-05-08 |
| 1841725280 | Ruben Sergio Padilla | Behavioral Analyst | 8794 Tustin Ave, Hesperia, CA 92344 | 2017-04-24 |
| 1184755233 | Virginia L Schwab | Counselor | 7657 Coleridge Road, Oak Hills, CA 92344 | 2007-03-08 |
| 1407347305 | Noel Norman Flowers Sr. | Driver | 13850 Rosemary St, Hesperia, CA 92344-0001 | 2018-05-25 |
| 1386015840 | Darin Saunders | Registered Nurse | 13842 Lemongrass Way, Hesperia, CA 92344-0042 | 2015-10-09 |
| 1629585856 | Amazing Grace Oasis | Intermediate Care Facility, Mentally Retarded | 13842 Lemongrass Way, Hesperia, CA 92344-0042 | 2018-01-09 |
| 1114572955 | Lighthouse Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 9184 Wild Horse Ave, Hesperia, CA 92344-0047 | 2019-08-08 |
| 1891212353 | Melissa Ann De Silva | Behavioral Analyst | 8546 Wagon Wheel Ct, Hesperia, CA 92344-0192 | 2017-08-25 |
| 1326695032 | Brooke A Palmer | Behavior Technician | 10720 Cedar St, Oak Hills, CA 92344-0660 | 2019-08-19 |
| Find all providers in zip 92344 | ||||
| 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 |
|---|---|---|---|---|
| 1639782584 | Alyssa Brass | Dental Assistant | 8522 C Ave Apt 227, Hesperia, CA 92345-5935 | 2020-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779499 | Candelaria S Muro | Dental Assistant | 34390 Scotella Rd, Temecula, CA 92592-9352 | 2020-10-29 |
| 1609476647 | Corie Zenobia Rideau | Dental Assistant | 26511 Thoroughbred Ln, Moreno Valley, CA 92555-2965 | 2020-10-28 |
| 1255930921 | Darlene Marie Piltingsrud | Dental Assistant | 13128 14 Th St, Camp Pendelton, CA 92055-5221 | 2020-10-22 |
| 1770182529 | Virginia Santiago Williams | Dental Assistant | 21 Area Dental Clinic, Bldg 210735 C St, Camp Pendleton, CA 92055-5221 | 2020-10-22 |
| 1649878968 | Rosalyn Mendoza | Dental Assistant | 18264 Ramona Ave, Fontana, CA 92336-3060 | 2020-10-09 |
| 1700483062 | Alyssa R Mauro | Dental Assistant | 5681 Raintree Way, Oceanside, CA 92057-4813 | 2020-10-08 |
| 1588261119 | Andrea Conners | Dental Assistant | 13218 Avalon Blvd Apt 219, Los Angeles, CA 90061-2363 | 2020-10-06 |
| 1720695984 | Douglas Thomas Duncan | Dental Assistant | 92055- 14th Strret, Oceanside, CA 92055 | 2020-09-30 |
| 1548877004 | Juliaisa Gisselle Caldero | Dental Assistant | Bldg 13128, Oceanside, CA 92058 | 2020-09-29 |
| 1528675980 | Dora Louise Young | Dental Assistant | 92055 14th Street, Camp Pendleton, CA 92055 | 2020-09-29 |
| 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.