MIRIAM CARRILLO (NPI# 1306492053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306492053 |
| Entity Type | Individual |
| Full Name | MIRIAM CARRILLO |
| Credential | RDA |
| Practice Address |
1835 Ximeno Ave Long Beach CA 90815-2850 |
| Mailing Address |
12017 164th St Norwalk CA 90650-7245 |
| Practice Telephone | 5627310470 |
| Mailing Telephone | 5625000852 |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 81473 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902027162 | Miriam Carrillo | Pharmacist | Plaza Caribe Mall Carr Estatal#2, Vega Alta, PR 00692 | 2007-05-02 |
| 1548809049 | Miriam Carrillo | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2019-12-31 |
| Street Address |
1835 XIMENO AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90815-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205865375 | Armon Shokohi | Dentist | 1835 Ximeno Ave, Long Beach, CA 90815-2850 | 2006-07-01 |
| 1376150227 | Karem Gutierrez | Dental Hygienist | 1835 Ximeno Ave, Long Beach, CA 90815-2850 | 2020-09-24 |
| 1932741394 | Darlina Vu | Dental Hygienist | 1835 Ximeno Ave, Long Beach, CA 90815-2850 | 2019-10-16 |
| 1831688050 | Anna Marie Mendoza | Dental Assistant | 1835 Ximeno Ave, Long Beach, CA 90815-2850 | 2018-05-02 |
| 1215439468 | Alicia Huizar Quidera | Dental Assistant | 1835 Ximeno Ave, Long Beach, CA 90815-2850 | 2018-03-04 |
| 1720506660 | Carol Sue Kline | Dental Hygienist | 1835 Ximeno Ave, Long Beach, CA 90815-2850 | 2017-08-30 |
| 1144675935 | Eileen Sarto | Dental Assistant | 1835 Ximeno Ave, Long Beach, CA 90815-2850 | 2016-04-28 |
| 1588028419 | Nooshin Gharamsini | Dental Assistant | 1835 Ximeno Ave, Long Beach, CA 90815-2850 | 2016-04-06 |
| 1346610458 | Lashawn Nichols | Dental Assistant | 1835 Ximeno Ave, Long Beach, CA 90815-2850 | 2015-10-01 |
| 1568807642 | Sonia Marie Ruiz | Dental Assistant | 1835 Ximeno Ave, Long Beach, CA 90815-2850 | 2013-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596745 | Fatima A. Hernandez | Technician | 2846 N Greenbrier Road, Long Beach, CA 90815 | 2019-09-09 |
| 1376027938 | Abigail Joy Dominguez | Social Worker | 2725 Hackett Ave, Long Beach, CA 90815 | 2018-09-19 |
| 1790271716 | The North Star Center for Marriage and Family Therapy, Inc. | Counselor | Faith Recovery, 2211 Suite C Palo Verde Ave, Long Beach, CA 90815 | 2018-07-02 |
| 1639600844 | Melissa Suzanne Fitzgerald | Nurse Practitioner | 6510 E. Spring Street, Spring Family Medical Group, Long Beach, CA 90815 | 2017-03-21 |
| 1588102818 | Jeff Clement | Registered Nurse | 1824 Stearnlee Avenue, Long Beach, CA 90815 | 2017-02-07 |
| 1376923524 | Edward Carl Woerz | Surgery | 5640 E. Las Lomas St., L.b., CA 90815 | 2015-06-03 |
| 1558765107 | Kendall Cheney Perez | Social Worker | 4142 E Mendez St Unit 433, Long Beach, CA 90815 | 2014-10-10 |
| 1689087769 | Nellie Grace Bell, Ma, Inc. | Marriage & Family Therapist | 6200 E. Spring St., Suite G, Long Beach, CA 90815 | 2014-06-06 |
| 1245652270 | Nguyen and Ghazal Dental Corporation | Dentist | 5533-a East Stearns Street, Long Beach, CA 90815 | 2014-01-10 |
| 1306267182 | Marcia Freeman | Licensed Practical Nurse | 2250 Grand Ave, Long Beach, CA 90815 | 2013-12-23 |
| Find all providers in zip 90815 | ||||
| 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 |
|---|---|---|---|---|
| 1063942530 | Regina Alvarez | Dental Assistant | 3320 N Los Coyotes Diagonal Ste 200, Long Beach, CA 90808-3938 | 2017-06-15 |
| 1497204028 | Jose Carlos Garcia | Dental Assistant | 2636 E Dominguez St, Long Beach, CA 90810 | 2016-09-23 |
| 1881065290 | Iliana Yanet Ortiz | Dental Assistant | 455 E. Columbia St., Suite 32, Long Beach, CA 90806-1620 | 2015-10-12 |
| 1992176465 | Pam Davis-washington | Dental Assistant | 455 E. Columbia Street, Suite 32, Long Beach, CA 90806-1620 | 2015-10-09 |
| 1578954871 | Stephanie Chow | Dental Assistant | 4714 Autry Ave, Long Beach, CA 90808-1115 | 2015-02-09 |
| 1831438241 | Rosemary Teresa Romero | Dental Assistant | 1309 E Eleanor St, Long Beach, CA 90805-1625 | 2013-02-05 |
| 1386887354 | Brandon L Kidman | Dental Assistant | 6447 E. Keynote St., Long Beach, CA 90808 | 2009-04-07 |
| 1760629570 | Mary Anne Vargas Dela Cruz | Dental Assistant | 3565 Linden Ave., 220, Long Beach, CA 90807 | 2009-01-15 |
| 1912144932 | Cristina Abad Shelton | Dental Assistant | 22022 S Embassy Ave, Long Beach, CA 90810-1854 | 2009-01-13 |
| 1134311095 | Mandy Ng | Dental Assistant | 5901 E 7th St Bldg 126a, Long Beach, CA 90822-5201 | 2007-08-15 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90815 |
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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.