ANDREA CONNERS (NPI# 1588261119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588261119 |
| Entity Type | Individual |
| Full Name | ANDREA CONNERS |
| Credential | RDA |
| Practice Address |
13218 Avalon Blvd Apt 219 Los Angeles CA 90061-2363 |
| Practice Telephone | 4243947579 |
| Mailing Telephone | 4243947579 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 81182 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 81182 | 05 |
| Street Address |
13218 AVALON BLVD APT 219 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90061-2363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882782 | Golden State Recuperative Care, Inc. | Lodging | 153 E. 110th St, Los Angeles, CA 90061 | 2020-02-05 |
| 1235695974 | Phyllis Kirby Tisdale | Nurse Practitioner | 145 E 124th Street, Los Angeles, CA 90061 | 2019-02-19 |
| 1003160003 | Alicia Vera | Counselor | 245 E 120th Street, Los Angeles, CA 90061 | 2012-10-30 |
| 1194044974 | Helping Kids To Recover, Inc. | Substance Abuse Rehabilitation Facility | 12628 Avalon Boulevard, Los Angeles, CA 90061 | 2010-05-19 |
| 1124202817 | David Anthony Martinez | Counselor | 11900 S. Avalon Blvd, 1, Los Angeles, CA 90061 | 2007-12-18 |
| 1255538690 | Ceed Security Services Inc | Durable Medical Equipment & Medical Supplies | 12815 South Avalon Blvd, Los Angeles, CA 90061 | 2007-06-29 |
| 1134335128 | Parklane Medical Group | Family Medicine | 12900 South Avalon Bl., Los Angeles, CA 90061 | 2007-05-15 |
| 1598892184 | Jose Rodriguez | Counselor | 11900 S. Avalon Blvd., Suite 200, Los Angeles, CA 90061 | 2007-02-28 |
| 1316182975 | Luis Rabago | Counselor | 11900 Avalon Blvd, Suite 200, Los Angeles, CA 90061 | 2008-12-11 |
| 1619169406 | Emmanuel A Ayodele | General Practice | 11126 S Main St, Los Angeles, CA 90061 | 2007-08-15 |
| Find all providers in zip 90061 | ||||
| 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 |
|---|---|---|---|---|
| 1821604539 | Liliana Manzo | Dental Assistant | 2435 West Blvd, Los Angeles, CA 90016-1660 | 2020-09-17 |
| 1730707548 | Elizabeth Rivera | Dental Assistant | 316 E 25th St, Los Angeles, CA 90011-1406 | 2020-07-08 |
| 1801413778 | Catherine Johnson | Dental Assistant | 325 E 102nd St, Los Angeles, CA 90003-4811 | 2020-06-26 |
| 1366065682 | Nayelly Ruby Gutierrez | Dental Assistant | 149 S Kern Ave, Los Angeles, CA 90022-1626 | 2020-05-20 |
| 1104449511 | Noemi Paredes | Dental Assistant | 3838 1/2 Crawford St, Los Angeles, CA 90011-2889 | 2020-05-19 |
| 1548802887 | David Octavio Torres | Dental Assistant | 1323 E 78th St, Los Angeles, CA 90001-3015 | 2019-10-08 |
| 1821654633 | Maria R Rangel | Dental Assistant | 6215 Holmes Ave, Los Angeles, CA 90001-1821 | 2019-05-16 |
| 1215498167 | Eufemia Gracia | Dental Assistant | 2346 S Cloverdale Ave, Los Angeles, CA 90016-2121 | 2019-03-25 |
| 1326528563 | Geremias Aguilar Jr. | Dental Assistant | 481 E Avenue 28 Apt 4, Los Angeles, CA 90031-2076 | 2018-08-16 |
| 1144715285 | Kazi Monwar Hosain | Dental Assistant | 350 S Manhattan Pl Apt 11, Los Angeles, CA 90020-4083 | 2018-06-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90061 |
Please comment or provide details below to improve the information on ANDREA CONNERS.
| 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.