SARA LAURA COPPOLA (NPI# 1700213980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700213980 |
| Entity Type | Individual |
| Full Name | SARA LAURA COPPOLA |
| Credential | RDHAP |
| Practice Address |
4800 North St Somis CA 93066-9523 |
| Practice Telephone | 8053770669 |
| Mailing Telephone | 8053770669 |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | HAP 480 | CA | Dental Providers |
| Street Address |
4800 NORTH ST |
| City | SOMIS |
| State | CA |
| Zip Code | 93066-9523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285076356 | David Howard Culton | Orthopaedic Surgery | 4620 Clubhouse Drive, Somis, CA 93066 | 2013-07-18 |
| 1144311630 | Charles Edward Scholler IIi | Dentist | 3265 Somis Rd., Somis, CA 93066-0608 | 2006-09-27 |
| 1306843925 | Linda L Vannix | Ophthalmology | 4389 Skywalker Dr, Somis, CA 93066-9640 | 2005-06-29 |
| 1972724458 | Sung Nei Cho | Family Medicine | 4372 N. Clubhouse Drive, Somis, CA 93066-9708 | 2007-05-01 |
| 1760716435 | Deborah Kruchowy | Speech-Language Pathologist | 6486 Palomino Cir, Somis, CA 93066-9740 | 2009-09-28 |
| 1497252308 | Maura Gilbert | Nurse Practitioner | 4183 Sand Canyon Rd, Somis, CA 93066-9751 | 2018-04-07 |
| 1114240603 | Flora P. Stay | Dentist | 4105 Clubhouse Dr, Somis, CA 93066-9793 | 2010-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497252308 | Maura Gilbert | Nurse Practitioner | 4183 Sand Canyon Rd, Somis, CA 93066-9751 | 2018-04-07 |
| 1285076356 | David Howard Culton | Orthopaedic Surgery | 4620 Clubhouse Drive, Somis, CA 93066 | 2013-07-18 |
| 1114240603 | Flora P. Stay | Dentist | 4105 Clubhouse Dr, Somis, CA 93066-9793 | 2010-03-11 |
| 1760716435 | Deborah Kruchowy | Speech-Language Pathologist | 6486 Palomino Cir, Somis, CA 93066-9740 | 2009-09-28 |
| 1972724458 | Sung Nei Cho | Family Medicine | 4372 N. Clubhouse Drive, Somis, CA 93066-9708 | 2007-05-01 |
| 1144311630 | Charles Edward Scholler IIi | Dentist | 3265 Somis Rd., Somis, CA 93066-0608 | 2006-09-27 |
| 1306843925 | Linda L Vannix | Ophthalmology | 4389 Skywalker Dr, Somis, CA 93066-9640 | 2005-06-29 |
| 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 |
|---|---|---|---|---|
| 1346841046 | Betty Satomi Fukumoto | Dental Hygienist | 16008 S Manhattan Pl, Gardena, CA 90247-3681 | 2020-11-08 |
| 1417558180 | Maria Antonette De Lara Kim | Dental Hygienist | 66 S San Gorgonio Ave Ste 5, Banning, CA 92220-6020 | 2020-11-07 |
| 1083215982 | Sokbunntha Yan | Dental Hygienist | 5810 Fidler Ave, Lakewood, CA 90712-1251 | 2020-11-06 |
| 1649871914 | Maryam Ghahramani Shahneshin | Dental Hygienist | 1961 Grove Pl, Escondido, CA 92027-4101 | 2020-11-04 |
| 1285234047 | Maryann Detar | Dental Hygienist | 3154 Alum Rock Ave, San Jose, CA 95127-2903 | 2020-10-29 |
| 1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
| 1336748896 | Cynthia Garcia Macdougall | Dental Hygienist | 444 Hermosa Ave Apt 302, Hermosa Beach, CA 90254-4433 | 2020-10-25 |
| 1346849163 | Ambrosia Evon Steljes | Dental Hygienist | Building 13128 14th Street, Camp Pendleton, CA 92055-5221 | 2020-10-22 |
| 1427657261 | Julie Lynn March | Dental Hygienist | 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 | 2020-10-22 |
| 1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
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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.