MATTHEW SIRAGUSA


Address: 792 Salinger Pl, San Jacinto, CA 92583
Phone: 9513306166

MATTHEW SIRAGUSA (NPI# 1699127118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699127118
Entity Type Individual
Full Name MATTHEW SIRAGUSA
Practice Address 792 Salinger Pl
San Jacinto
CA 92583
Mailing Address 792 Salinger Pl
San Jacinto
CA 92583-2052
Practice Telephone 9513306166
Mailing Telephone 9513306166
Enumeration Date 2016-07-08
Last Update Date 2016-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 126800000X Dental Assistant 74736 CA Dental Providers

Office Location

Street Address 792 SALINGER PL
City SAN JACINTO
State CA
Zip Code 92583

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1306459615 Walgreen Co Pharmacy 23335 Soboba Rd, San Jacinto, CA 92583 2020-08-26
1295399632 Suhaila Mahjabeen Arif Student in an Organized Health Care Education/Training Program 651 North State Street, San Jacinto, CA 92583 2019-04-30
1083146328 United Family Pharmacy, LLC Pharmacy 1221 S. San Jacinto Ave, San Jacinto, CA 92583 2017-03-28
1326431966 Empire Mobility Durable Medical Equipment & Medical Supplies 1499 Old Mountain Ave, Spc127, San Jacinto, CA 92583 2015-03-06
1598102485 Ribhi A Hamad Pharmacist 1181 N Sate St, San Jacinto, CA 92583 2013-05-31
1770831489 Neelam Gupta M.d. Inc. Clinic/Center 343 E Main Street, 106, San Jacinto, CA 92583 2012-08-28
1407154040 Elizabeth Santillana Contla Registered Nurse 1370 S. State Street, Ste B, San Jacinto, CA 92583 2011-03-07
1902125636 Tonnette Na Ellis Counselor 1854 Hemet St, San Jacinto, CA 92583 2010-05-20
1851525315 Lydia Meria Reece Physician Assistant 229 West 7th Street, San Jacinto, CA 92583 2009-05-12
1174778476 David Chester Follansbee Physician Assistant San Jacinto Family & Urgent Care, 229 W Seventh St., San Jacinto, CA 92583 2008-12-01
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Taxonomy Information

Taxonomy Code 126800000X
Grouping Dental Providers
Classification Dental Assistant

Taxonomy Definition

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639779499 Candelaria S Muro Dental Assistant 34390 Scotella Rd, Temecula, CA 92592-9352 2020-10-29
1609476647 Corie Zenobia Rideau Dental Assistant 26511 Thoroughbred Ln, Moreno Valley, CA 92555-2965 2020-10-28
1255930921 Darlene Marie Piltingsrud Dental Assistant 13128 14 Th St, Camp Pendelton, CA 92055-5221 2020-10-22
1770182529 Virginia Santiago Williams Dental Assistant 21 Area Dental Clinic, Bldg 210735 C St, Camp Pendleton, CA 92055-5221 2020-10-22
1649878968 Rosalyn Mendoza Dental Assistant 18264 Ramona Ave, Fontana, CA 92336-3060 2020-10-09
1700483062 Alyssa R Mauro Dental Assistant 5681 Raintree Way, Oceanside, CA 92057-4813 2020-10-08
1588261119 Andrea Conners Dental Assistant 13218 Avalon Blvd Apt 219, Los Angeles, CA 90061-2363 2020-10-06
1720695984 Douglas Thomas Duncan Dental Assistant 92055- 14th Strret, Oceanside, CA 92055 2020-09-30
1548877004 Juliaisa Gisselle Caldero Dental Assistant Bldg 13128, Oceanside, CA 92058 2020-09-29
1528675980 Dora Louise Young Dental Assistant 92055 14th Street, Camp Pendleton, CA 92055 2020-09-29
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Competitor

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City SAN JACINTO
Zip Code 92583

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Dataset Information

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.

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