MISS KATHLEEN MAY PEREGOY (NPI# 1194944090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194944090 |
| Entity Type | Individual |
| Full Name | MISS KATHLEEN MAY PEREGOY |
| Credential | RDA |
| Practice Address |
1425 Montgomery Rd Red Bluff CA 96080-4605 |
| Mailing Address |
9330 San Benito Ave Gerber CA 96035-9701 |
| Practice Telephone | 5305288600 |
| Mailing Telephone | 5303851190 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 39486 | CA | Dental Providers |
| Street Address |
1425 MONTGOMERY RD |
| City | RED BLUFF |
| State | CA |
| Zip Code | 96080-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992722805 | Bernardo Rodolfo Roisenzvit | General Practice | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2006-07-16 |
| 1356638597 | Stephen Chan | Dentist | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2011-07-08 |
| 1023308525 | Manoela Fonseca Denman | Psychiatry & Neurology | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2011-04-18 |
| 1578797833 | Ntango Desire Banani | General Practice | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2009-05-14 |
| 1871764910 | Stacey Lynne Wobbe | Dental Hygienist | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2008-03-17 |
| 1396944229 | Gonzalo Gonzalez | Marriage & Family Therapist | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2007-07-11 |
| 1609095900 | Cathleen Ann Maclean | Dental Assistant | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2007-04-25 |
| 1447382064 | Clint T Parm | Dentist | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2007-03-09 |
| 1407998057 | Cindy Listoe | Dental Hygienist | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2007-02-12 |
| 1962553487 | Marshall Paul Gouze | Psychologist | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
| 1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
| 1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
| 1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
| 1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
| 1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
| 1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
| 1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
| 1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
| 1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
| Find all providers in zip 96080 | ||||
| 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 |
|---|---|---|---|---|
| 1609095900 | Cathleen Ann Maclean | Dental Assistant | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2007-04-25 |
| 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.