GAIL BROCKETT (NPI# 1851706378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851706378 |
| Entity Type | Individual |
| Full Name | GAIL BROCKETT |
| Practice Address |
637 Merced St Newman CA 95360-1070 |
| Mailing Address |
737 W Childs Ave Merced CA 95341-6805 |
| Practice Telephone | 2098620270 |
| Practice Fax Number | 2098620274 |
| Mailing Telephone | 2093855481 |
| Mailing Fax Number | 2093831296 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 5129 | CA | Dental Providers |
| Street Address |
637 MERCED ST |
| City | NEWMAN |
| State | CA |
| Zip Code | 95360-1070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689658668 | Golden Valley Health Center | Clinic/Center | 637 Merced St, Newman, CA 95360-1070 | 2005-12-02 |
| 1154956068 | Courtney N Fontana | Nurse Practitioner | 637 Merced St, Newman, CA 95360-1070 | 2020-03-11 |
| 1285946228 | Hanika Gupta | Family Medicine | 637 Merced St, Newman, CA 95360-1070 | 2010-07-07 |
| 1578795464 | Divya Gangwar | Family Medicine | 637 Merced St, Newman, CA 95360-1070 | 2009-08-11 |
| 1871762468 | Connie Marie Richmond | Licensed Vocational Nurse | 637 Merced St, Newman, CA 95360 | 2008-02-27 |
| 1578758736 | Cinthya Liliana Hernandez | Counselor | 637 Merced St, Newman, CA 95360-1070 | 2007-09-11 |
| 1962694208 | Alessandra D'avanzo | Family Medicine | 637 Merced St, Newman, CA 95360-1070 | 2007-08-10 |
| 1285734129 | Barbara Jeanne Cretan | Dentist | 637 Merced St, Newman, CA 95360-1070 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386718112 | Robert Allen Digiorno | Dentist | 1925 N St, Suitte E, Newman, CA 95360 | 2006-11-20 |
| 1679665970 | Westside Community Healthcare District | Ambulance | 151 South Highway 33, Newman, CA 95360 | 2006-09-28 |
| 1780776716 | Gloria D Bennett | Nurse Practitioner | 1349 Main St, Newman, CA 95360 | 2006-09-28 |
| 1063010536 | Valerie Ann Basulto | Behavior Technician | 1118 M St Apt 213, Newman, CA 95360-1075 | 2020-10-15 |
| 1679119408 | Nancy Barrington | Technician | 908 Fig Ln, Newman, CA 95360-1109 | 2019-11-27 |
| 1851624241 | Julie Renae Aguiniga | Counselor | 890 Main St, Newman, CA 95360-1119 | 2009-09-16 |
| 1649321993 | Newman-crows Landing Usd | Local Education Agency (LEA) | 890 Main St, Newman, CA 95360-1119 | 2007-01-15 |
| 1750375846 | Avalon Care Center - Newman, LLC | Skilled Nursing Facility | 709 N St, Newman, CA 95360-1162 | 2005-09-06 |
| 1225140213 | Newman Pioneer Drug Inc | Pharmacy | 1261 Main St, Newman, CA 95360-1324 | 2006-08-31 |
| 1457866329 | Ralph Klopping | Pharmacist | 1261 Main St, Newman, CA 95360-1324 | 2017-12-13 |
| Find all providers in zip 95360 | ||||
| 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 |
| 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.