KIMBERLY DIANE BACON (NPI# 1487891065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487891065 |
| Entity Type | Individual |
| Full Name | KIMBERLY DIANE BACON |
| Practice Address |
8381 La Palma Ave Suite B & C Buena Park CA 90620-3271 |
| Practice Telephone | 7142289990 |
| Practice Fax Number | 7142289741 |
| Mailing Telephone | 7142289990 |
| Mailing Fax Number | 7142289741 |
| Enumeration Date | 2009-01-19 |
| Last Update Date | 2009-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 54253991003342 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366818452 | Kimberly Bacon | Counselor | 112 W Main St, Purcell, OK 73080-4220 | 2015-08-12 |
| 1215207451 | Kimberly S Bacon | Nurse Practitioner | 408 N State of Franklin Rd, Suite 24, Johnson City, TN 37604-6089 | 2012-01-05 |
| 1205039542 | Kimberly Bacon | Social Worker | 50 Sanitorium Rd, Bldg F - Room 240, Pomona, NY 10970-3555 | 2007-06-06 |
| Street Address |
8381 LA PALMA AVE SUITE B & C |
| City | BUENA PARK |
| State | CA |
| Zip Code | 90620-3271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942339064 | Hertsel Perjam Hakimian | Dentist | 8381 La Palma Ave, Buena Park, CA 90620-3271 | 2007-03-05 |
| 1265070106 | Adrina Lange-gomez | Dental Assistant | 8381 La Palma Ave, Buena Park, CA 90620-3271 | 2019-12-11 |
| 1972916252 | Gina Karin Jauregui | Dental Assistant | 8381 La Palma Ave, Buena Park, CA 90620-3271 | 2014-06-04 |
| 1467798074 | Debra Hernandez | Dental Assistant | 8381 La Palma Ave, Suite B&c, Buena Park, CA 90620-3271 | 2012-12-31 |
| 1861798050 | Edith Lorena Uribe | Dental Assistant | 8381 La Palma Ave, Buena Park, CA 90620-3271 | 2011-02-04 |
| 1811134497 | Eduardo Ulises Vizcarra | Dental Assistant | 8381 La Palma Ave, Suite B & C, Buena Park, CA 90620-3271 | 2009-01-19 |
| 1740427327 | Josephine Morales | Dental Assistant | 8381 La Palma Ave, Suite B & C, Buena Park, CA 90620-3271 | 2009-01-19 |
| 1225252877 | Manavi Dental Corporation | Dentist | 8381 La Palma Ave, Suite B and C, Buena Park, CA 90620-3271 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889110 | Soon Ae Yoon | Acupuncturist | 8600 Beach Blvd. #104, Buena Park, CA 90620 | 2019-12-27 |
| 1649755380 | Rosemary Lynn Nielsen | Social Worker | 1850 Knott Ave, Buena Park, CA 90620 | 2018-09-28 |
| 1730608118 | Arpita Bhavsar | Pharmacist | 7072 Santa Marta Circle, Buena Park, CA 90620 | 2017-09-16 |
| 1740715663 | Gabriela Peinado | Assistant Behavior Analyst | 8669 Holder St, Buena Park, CA 90620 | 2017-04-28 |
| 1679958862 | Aum Pharmacy Corporation | Pharmacy | 6970 Aragon Circle, # 3, Buena Park, CA 90620 | 2015-07-29 |
| 1457600330 | Daniel D. Chung Dds Inc | Dentist | 8884 Knott Ave., Buena Park, CA 90620 | 2012-09-06 |
| 1942531447 | Baltazar Mendoza | Dental Assistant | 7691 El Chaco Drive, Buena Park, CA 90620 | 2010-01-22 |
| 1760509947 | Marcela Torralba Espiritu | Dentist | 7540 Orangethorpe Ave, C4, Buena Park, CA 90620 | 2007-03-23 |
| 1508924457 | Randall Tay Kanemaki | Dentist | 8751 Valley View Street, Suite B, Buena Park, CA 90620 | 2006-12-04 |
| 1346338282 | J and P Homes Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6891 San Pedro Circle, Buena Park, CA 90620 | 2006-10-10 |
| Find all providers in zip 90620 | ||||
| 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 |
|---|---|---|---|---|
| 1205490364 | Araceli Tapia | Dental Assistant | 8381 La Palma Ave Ste B, Buena Park, CA 90620-3271 | 2019-04-24 |
| 1740652593 | Erick Ernesto Garcia | Dental Assistant | 6372 Los Robles Ave, Buena Park, CA 90621-3055 | 2015-10-20 |
| 1942531447 | Baltazar Mendoza | Dental Assistant | 7691 El Chaco Drive, Buena Park, CA 90620 | 2010-01-22 |
| 1356954564 | Berenice Morales | Dental Assistant | 8381 La Palma Ave Ste B, Buena Park, CA 90620-3271 | 2020-08-26 |
| 1265070106 | Adrina Lange-gomez | Dental Assistant | 8381 La Palma Ave, Buena Park, CA 90620-3271 | 2019-12-11 |
| 1689159568 | Haena Yu So | Dental Assistant | 7212 Orangethorpe Ave Ste 9a, Buena Park, CA 90621-4668 | 2018-09-26 |
| 1356879225 | Lilibeth Macaraeg Francisco | Dental Assistant | 8381 La Palma Ave Ste B&c, Buena Park, CA 90620-3271 | 2017-05-23 |
| 1972916252 | Gina Karin Jauregui | Dental Assistant | 8381 La Palma Ave, Buena Park, CA 90620-3271 | 2014-06-04 |
| 1467798074 | Debra Hernandez | Dental Assistant | 8381 La Palma Ave, Suite B&c, Buena Park, CA 90620-3271 | 2012-12-31 |
| 1861798050 | Edith Lorena Uribe | Dental Assistant | 8381 La Palma Ave, Buena Park, CA 90620-3271 | 2011-02-04 |
| Find all providers in BUENA PARK | ||||
| City | BUENA PARK |
| Zip Code | 90620 |
Please comment or provide details below to improve the information on KIMBERLY DIANE BACON.
| 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.