ELIZA ZETINO (NPI# 1164069480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164069480 |
| Entity Type | Individual |
| Full Name | ELIZA ZETINO |
| Practice Address |
599 Tomales Rd Petaluma CA 94952-5002 |
| Mailing Address |
2056 Easton Dr Petaluma CA 94952-5261 |
| Practice Telephone | 7077657200 |
| Mailing Telephone | 6612890030 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
599 TOMALES RD |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831167717 | Randall Carl Lucas | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2006-03-08 |
| 1467698662 | Jami Rene Moore | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2008-12-18 |
| 1740426931 | Maureen Huber | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2008-12-18 |
| 1831334168 | Yamil N Vazquez | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952 | 2008-12-16 |
| 1740425073 | Ryan Richard Jablonowski | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2008-12-16 |
| 1417192840 | Ashton L. Atkins | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2008-12-15 |
| 1053556480 | Rachel Elaine Burton | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2008-12-15 |
| 1962647396 | Nichole Danielle Mccarthy | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2008-12-15 |
| 1407091838 | William Matthew Hilt | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2008-12-15 |
| 1114162542 | Dale Russell Young Jr. | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2008-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| 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 |
|---|---|---|---|---|
| 1568549541 | Columbia-arora | Dental Assistant | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2006-11-01 |
| 1023190576 | Rebecca Lane De Los Reyes | Dental Assistant | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2006-10-20 |
| 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 |
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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.