MRS. STACEY LYNNE WOBBE (NPI# 1871764910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871764910 |
| Entity Type | Individual |
| Full Name | MRS. STACEY LYNNE WOBBE |
| Credential | RDH |
| Practice Address |
1425 Montgomery Rd Red Bluff CA 96080-4605 |
| Mailing Address |
320 Christina Dr Red Bluff CA 96080-4062 |
| Practice Telephone | 5305288600 |
| Mailing Telephone | 5305280816 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 23431 | CA | Dental Providers |
| Street Address |
1425 MONTGOMERY RD |
| City | RED BLUFF |
| State | CA |
| Zip Code | 96080-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992722805 | Bernardo Rodolfo Roisenzvit | General Practice | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2006-07-16 |
| 1356638597 | Stephen Chan | Dentist | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2011-07-08 |
| 1023308525 | Manoela Fonseca Denman | Psychiatry & Neurology | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2011-04-18 |
| 1578797833 | Ntango Desire Banani | General Practice | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2009-05-14 |
| 1396944229 | Gonzalo Gonzalez | Marriage & Family Therapist | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2007-07-11 |
| 1609095900 | Cathleen Ann Maclean | Dental Assistant | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2007-04-25 |
| 1194944090 | Kathleen May Peregoy | Dental Assistant | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2007-04-25 |
| 1447382064 | Clint T Parm | Dentist | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2007-03-09 |
| 1407998057 | Cindy Listoe | Dental Hygienist | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2007-02-12 |
| 1962553487 | Marshall Paul Gouze | Psychologist | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
| 1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
| 1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
| 1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
| 1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
| 1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
| 1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
| 1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
| 1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
| 1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
| Find all providers in zip 96080 | ||||
| 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 |
|---|---|---|---|---|
| 1407998057 | Cindy Listoe | Dental Hygienist | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2007-02-12 |
| 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.