DR. BRAN'D HUTALLA (NPI# 1477106557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477106557 |
| Entity Type | Individual |
| Full Name | DR. BRAN'D HUTALLA |
| Practice Address |
2151 E Palmdale Blvd Palmdale CA 93550-4037 |
| Mailing Address |
5054 Loleta Ave Los Angeles CA 90041-2315 |
| Practice Telephone | 6619422391 |
| Mailing Telephone | 3233698228 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 104009 | CA | Dental Providers |
| Street Address |
2151 E PALMDALE BLVD |
| City | PALMDALE |
| State | CA |
| Zip Code | 93550-4037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164403929 | Manouchehr Khandadash | Pediatrics | 2151 E Palmdale Blvd, Palmdale, CA 93550-4037 | 2005-11-09 |
| 1902455827 | Sandy Pena | Social Worker | 2151 E Palmdale Blvd, Palmdale, CA 93550-4037 | 2019-09-04 |
| 1780144303 | Jwch Institute, Inc. | Clinic/Center | 2151 E Palmdale Blvd, Palmdale, CA 93550-4037 | 2019-03-20 |
| 1700337268 | Adrianne Fletcher | Dental Hygienist | 2151 E Palmdale Blvd, Palmdale, CA 93550-4037 | 2016-10-19 |
| 1174998322 | Marigold Rose Almoradie Reyes | Dentist | 2151 E Palmdale Blvd, Palmdale, CA 93550-4037 | 2015-12-13 |
| 1396142956 | Helen Chioma Okoh | Internal Medicine | 2151 E Palmdale Blvd, Palmdale, CA 93550-4037 | 2014-11-25 |
| 1689957896 | Luisa M Jenkins | Dental Hygienist | 2151 E Palmdale Blvd, Palmdale, CA 93550-4037 | 2011-09-23 |
| 1144511668 | Paul Edward Round | Pediatrics | 2151 E Palmdale Blvd, Palmdale, CA 93550-4037 | 2011-05-02 |
| 1275847436 | Diane Elizabeth Bite | Nurse Practitioner | 2151 E Palmdale Blvd, Palmdale, CA 93550-1831 | 2010-07-29 |
| 1346563673 | Antelope Valley Community Clinic | Clinic/Center | 2151 E Palmdale Blvd, Palmdale, CA 93550-4037 | 2010-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612118 | Well Care Hospice Inc | Hospice Care, Community Based | 1543j East Palmdale Blvd., Palmdale, CA 93550 | 2020-09-03 |
| 1922565522 | California Recuperative Care, Inc | Social Worker | 38529 6th St. East, Palmdale, CA 93550 | 2019-03-01 |
| 1649751777 | Earl Larry Hernandez | Rehabilitation Practitioner | 1609 East Palmdale Blvd Suite G, Palmdale, CA 93550 | 2018-08-27 |
| 1265940050 | Virginia Alvarez | Counselor | 3058 East Aver14, Palmdale, CA 93550 | 2018-01-16 |
| 1225553498 | Natalie Christine Ragus | Social Worker | 1529 E. Palmdale Blvd. Ste 150, Palmdale, CA 93550 | 2017-08-09 |
| 1104348770 | Purificacion Paguyo Villegas | Registered Nurse | 38350 40th St East, 2nd Floor, Palmdale, CA 93550 | 2017-07-14 |
| 1528580438 | Perla Marilyn Rodriguez | Registered Nurse | 38350 40th St East, Palmdale, CA 93550 | 2017-07-12 |
| 1992259527 | Nathalie Exconde | Counselor | 1529 East Palmdale Blvd Suite 150, Palmdale, CA 93550 | 2016-08-11 |
| 1083064604 | Sinead Diaz | Community Health Worker | 2323a East Palmdale Boulvard, Palmdale, CA 93550 | 2016-06-14 |
| 1598122293 | Sharnelle Denise Patterson | Rehabilitation Practitioner | 2010 Moonflower Ct, Palmdale, CA 93550 | 2016-01-26 |
| Find all providers in zip 93550 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388561 | Western Dental Services, Inc. | Dentist | 37134 47th St E Ste A&b, Palmdale, CA 93552-4458 | 2020-08-28 |
| 1790263465 | Dr Park Dental Corporation | Dentist | 38745 Tierra Subida Ave Ste 150, Palmdale, CA 93551-4567 | 2018-08-03 |
| 1346727666 | Chris Khatchaturian Dds Inc. | Dentist | 2508 E Palmdale Blvd Ste D, Palmdale, CA 93550-4860 | 2018-07-20 |
| 1245750751 | Tamara Vwich Dds Inc | Dentist | 3011 Rancho Vista Blvd., Suite I, Palmdale, CA 93551 | 2017-06-26 |
| 1043768773 | Nathaniel Hassan | Dentist | 38209 47th St E Ste E, Palmdale, CA 93552-3113 | 2016-09-12 |
| 1326423575 | Trieu & Kang Professional Dental Corp | Dentist | 38024 47th Street, Suite H, Palmdale, CA 93552 | 2015-07-29 |
| 1215312715 | Lilia H. Rivas, Dds, Inc. | Dentist | 5826 Saint Laurent Dr, Palmdale, CA 93552-3318 | 2015-07-25 |
| 1356762934 | April Buckins | Dentist | 2140 E Palmdale Blvd # 1, Palmdale, CA 93550-1202 | 2013-12-26 |
| 1851650543 | Richard Rojas D.d.s. and Richard Rothstein Dds Inc | Dentist | 1154 E. Palmdale Blvd., Palmdale, CA 93550 | 2012-05-15 |
| 1336461789 | Jorge Alberto Flores | Dentist | 509 E. Palmdale B1., Ste E, Palmdale, CA 93550 | 2010-02-25 |
| Find all providers in PALMDALE | ||||
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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.