MICHELLE MANCILLA (NPI# 1447667746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447667746 |
| Entity Type | Individual |
| Full Name | MICHELLE MANCILLA |
| Practice Address |
45104 10th St W Lancaster CA 93534-2310 |
| Mailing Address |
45104 10th St West Lancaster CA 93534 |
| Practice Telephone | 6619422391 |
| Practice Fax Number | 6619026839 |
| Mailing Telephone | 6619422391 |
| Mailing Fax Number | 6619026839 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | A8922473 | CA | Dental Providers |
| Street Address |
45104 10TH ST W |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902896921 | Mary Haynes | Nurse Practitioner | 45104 10th St W, Lancaster, CA 93534-2310 | 2005-10-21 |
| 1689135816 | Jwch Institute, Inc. | Clinic/Center | 45104 10th St W, Lancaster, CA 93534-2310 | 2019-03-29 |
| 1174084313 | Jwch Institute, Inc. | Clinic/Center | 45104 10th St W, Lancaster, CA 93534-2310 | 2019-03-29 |
| 1427518786 | Jwch Institute, Inc. | Clinic/Center | 45104 10th St W, Lancaster, CA 93534-2310 | 2019-03-22 |
| 1710480058 | Kashyap Sharma | Dentist | 45104 10th St W, Lancaster, CA 93534 | 2018-03-13 |
| 1336674571 | Wendy Fuentes | Nurse Practitioner | 45104 10th St W, Lancaster, CA 93534-2310 | 2017-04-25 |
| 1568811347 | Htar Su Hlaing | Pediatrics | 45104 10th St W, Lancaster, CA 93534-2310 | 2016-06-13 |
| 1295199263 | Jacob Carpenter | Nurse Practitioner | 45104 10th St W, Lancaster, CA 93534-2310 | 2016-04-06 |
| 1053773754 | Tessiny N Iriarte | Dermatology | 45104 10th St W, Lancaster, CA 93534-2310 | 2016-03-22 |
| 1245690387 | Antelope Valley Community Clinic | Clinic/Center | 45104 10th St W, Lancaster, CA 93534-2310 | 2016-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| 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 |
|---|---|---|---|---|
| 1275922080 | Marcia Monae Hooks | Dental Hygienist | 43508 Gadsden Ave Apt #235, Lancaster, CA 93534 | 2015-01-16 |
| 1972945178 | Gail J. Lorenzo | Dental Hygienist | 2320 Middlegreen Ct, Lancaster, PA 17601-4928 | 2013-07-29 |
| 1467734665 | Nikole Breanne Smith | Dental Hygienist | 1126 E Avenue J2, Lancaster, CA 93535-3949 | 2011-09-13 |
| 1073810867 | Susan Slosing | Dental Hygienist | 18711 W Avenue E4, Lancaster, CA 93536-9050 | 2011-02-14 |
| 1528295268 | Laura Ann Jouflas | Dental Hygienist | 5819 W Avenue K2, Lancaster, CA 93536-5650 | 2009-06-21 |
| 1770092082 | Emilee Reeder | Dental Hygienist | 625 S Duke St, Lancaster, PA 17602-4509 | 2017-09-29 |
| 1407373673 | Lidice Gonzalez | Dental Hygienist | 625 S Duke St, Lancaster, PA 17602-4509 | 2017-08-28 |
| 1225554264 | Anna M Ebersol | Dental Hygienist | 333 N Arch St, Lancaster, PA 17603-2928 | 2017-08-22 |
| 1184140279 | Karen Johnston Sherwood | Dental Hygienist | 625 S Duke St, Lancaster, PA 17602-4509 | 2017-08-21 |
| 1497112262 | Kala Jean Denlinger | Dental Hygienist | 1685 Crown Ave, Lancaster, PA 17601-6322 | 2016-01-25 |
| Find all providers in LANCASTER | ||||
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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.