SHELLI BLAKE (NPI# 1215182613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215182613 |
| Entity Type | Individual |
| Full Name | SHELLI BLAKE |
| Credential | RDH |
| Practice Address |
3242 W 8th St Los Angeles CA 90005-2176 |
| Mailing Address |
3242 W. 8th Street Queenscare Family Clinics Los Angeles CA 90005 |
| Practice Telephone | 2133689779 |
| Mailing Telephone | 2133689779 |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2008-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 14938 | CA | Dental Providers |
| Street Address |
3242 W 8TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90005-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891732798 | Azita Rayet | Dentist | 3242 W 8th St, Los Angeles, CA 90005-2176 | 2006-05-31 |
| 1821365867 | Acu Chiro Clinic | Chiropractor | 3242 W 8th St, Suite 100, Los Angeles, CA 90005-2176 | 2011-11-18 |
| 1174854723 | Guasha Research Institute Corp. | Acupuncturist | 3242 W 8th St, 101, Los Angeles, CA 90005-2176 | 2010-01-21 |
| 1043381213 | Queenscare Family Clinics | Clinic/Center | 3242 W 8th St, Los Angeles, CA 90005-2176 | 2006-11-10 |
| 1790728624 | Hyun Hong Kim | Family Medicine | 3242 W 8th St, Los Angeles, CA 90005-2176 | 2006-06-14 |
| 1073554184 | Yung Soon Ahn | Pediatrics | 3242 W 8th St, Los Angeles, CA 90005-2176 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964680 | Hong Il Kim | Dentist | 610 South Havard Blvd, 101, Los Angeles, CA 90005 | 2020-02-13 |
| 1467929265 | Galina Vardanyan | Optometrist | 621 S Western Ave Ste 214, Los Angeles, CA 90005 | 2018-10-30 |
| 1740761642 | Kyung Sook Chung | Acupuncturist | 603 S Mariposa Ave #102, Los Angeles, CA 90005 | 2018-08-28 |
| 1891274155 | Chinese Healing Arts, Inc | Acupuncturist | 2837 Hyperion Ave, Los Angeles, CA 90005 | 2018-08-08 |
| 1992298624 | Hak S. Choi Dds Inc | Dentist | 680 Wilshire Pl Ste 314, Los Angeles, CA 90005 | 2018-06-07 |
| 1891287918 | Marlene Sanchez Torres | Counselor | 679 S New Hampshire Ave # 400, Los Angeles, CA 90005 | 2018-06-04 |
| 1255828562 | Arianna Houriani | Student in an Organized Health Care Education/Training Program | 714 S Plymouth Blvd, Los Angeles, CA 90005 | 2018-04-23 |
| 1548776404 | Destiny Ann Galvan | Licensed Psychiatric Technician | 679 New Hamshire Ave, Los Angeles, CA 90005 | 2017-12-14 |
| 1255859385 | Tiany Siao Tian So | Dietitian, Registered | 740 S St Andrew Pl, Apt 15, Los Angeles, CA 90005 | 2017-09-08 |
| 1962931246 | Jooyong Shin | Acupuncturist | 400 S Western Ave #203, Los Angeles, CA 90005 | 2017-06-08 |
| Find all providers in zip 90005 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987857 | Teresa Diane Topdjian | Dental Hygienist | 346 S Wilton Pl Apt 104, Los Angeles, CA 90020-4589 | 2020-09-22 |
| 1477164176 | Nancy Palacios | Dental Hygienist | 1004 E 77th St, Los Angeles, CA 90001-2912 | 2020-08-14 |
| 1164987632 | Jeannette Diaz | Dental Hygienist | 217 E 8th St Apt 1101, Los Angeles, CA 90014-2395 | 2019-02-08 |
| 1972097483 | Sandra Michelle Henriquez | Dental Hygienist | 3163 Ivy St, Los Angeles, CA 90034-3212 | 2018-06-18 |
| 1912499310 | Alliance Ivy Kamdem | Dental Hygienist | 3344 Castle Heights Ave Apt 302, Los Angeles, CA 90034-2771 | 2018-05-31 |
| 1144745076 | Mastane M Shalikar | Dental Hygienist | 10683 Holman Ave, #5, Los Angeles, CA 90024 | 2017-08-11 |
| 1730611708 | Ravinesh Pathak | Dental Hygienist | 1348 W 35th Pl, Los Angeles, CA 90007-3404 | 2017-03-29 |
| 1396285300 | Kathleen Mae Delos Reyes Abueva | Dental Hygienist | 859 N Wilton Pl, Los Angeles, CA 90038-4057 | 2017-02-24 |
| 1043686975 | Conrad Ignatius Harmon Sr. | Dental Hygienist | 3004 W 46th St, Los Angeles, CA 90043-1321 | 2015-08-14 |
| 1396128096 | Sandy Levy | Dental Hygienist | 2350 Overland Ave, Los Angeles, CA 90064-2210 | 2015-06-30 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90005 |
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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.