KATYA ARCHAMBAULT (NPI# 1700350485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700350485 |
| Entity Type | Individual |
| Full Name | KATYA ARCHAMBAULT |
| Credential | DMD |
| Practice Address |
9245 Regents Rd Unit M208 La Jolla CA 92037-9266 |
| Practice Telephone | 3103076623 |
| Mailing Telephone | 3103076623 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
DDS65278 | CA | Dental Providers |
| Street Address |
9245 REGENTS RD UNIT M208 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-9266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 1223X0008X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Radiology |
| The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609101120 | Louis T Kircos | Dentist | 666 3rd St, Suite 222, San Rafael, CA 94901-3356 | 2009-10-16 |
| 1528200045 | Judy Janette Hurt | Dentist | 2920 F St Ste B2, Bakersfield, CA 93301-1829 | 2009-03-30 |
| 1780833087 | Shaza Mardini | Dentist | 2745 Via Villaggio, Sacramento, CA 95864-3788 | 2008-09-11 |
| 1316151202 | Montgomery Radiographic Svs | Dentist | 720 N Tustin Ave Ste 204, Santa Ana, CA 92705-3606 | 2007-05-09 |
| 1134253339 | Loma Linda University | Dentist | 11092 Anderson Street, Loma Linda, CA 92354 | 2007-03-16 |
| 1679580575 | Stuart C. White | Dentist | 10833 Le Conte Ave. Chs 10-165, Los Angeles, CA 90095-1668 | 2006-08-02 |
| 1396195483 | Shikha Rathi- Raythatha | Dentist | 2110 Professional Dr, Suite 101, Roseville, CA 95661-3752 | 2016-06-20 |
| 1366575490 | Francis H. Chung, Dds, Inc | Dentist | 2460 Mission St, Suite #109, San Francisco, CA 94110-2430 | 2007-03-14 |
| 1356476865 | Regents of University of California | Dentist | 10833 Le Conte Ave, Chs 10 -165, Los Angeles, CA 90095-1668 | 2007-02-23 |
| 1538247754 | Sotirios Tetradis | Dentist | 10833 Le Conte Ave, Chs 10-165, Los Angeles, CA 90095-1668 | 2006-11-02 |
| Find all providers with the same taxonomy | ||||
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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.