CABRILLO COLLEGE (NPI# 1962607333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962607333 |
| Entity Type | Organization |
| Organization Name | CABRILLO COLLEGE |
| Practice Address |
6500 Soquel Dr Aptos CA 95003-3119 |
| Practice Telephone | 8314796431 |
| Mailing Telephone | 8314796431 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BRIDGETE H CLARK (PROGRAM CHAIR) |
| Authorized Official Telephone | 8314796431 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 22173 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTIST | 22173 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CABRILLO COLLEGE | 6500 Soquel Dr, Aptos, CA 95003-3119 |
| Street Address |
6500 SOQUEL DR |
| City | APTOS |
| State | CA |
| Zip Code | 95003-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114015872 | Mary K Dowling | Nurse Practitioner | 6500 Soquel Dr, Cabrillo College Student Health Services, Aptos, CA 95003-3119 | 2006-10-10 |
| 1437546686 | Mark Stephen Ramsey | Specialist/Technologist | 6500 Soquel Dr, Aptos, CA 95003-3119 | 2015-04-24 |
| 1326325689 | Brenda Jacqueline Ochoa | Counselor | 6500 Soquel Dr, Aptos, CA 95003-3119 | 2011-11-14 |
| 1184793143 | Cabrillo Community College | Clinic/Center | 6500 Soquel Dr, Aptos, CA 95003-3119 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730664962 | Karinn Lane Pearson | Occupational Therapist | 240 Ranchitos Del Sol, Aptos, CA 95003 | 2018-10-03 |
| 1104280494 | Mary Alice Charboneau | Pharmacist | 80 Ranch Del Mar, Aptos, CA 95003 | 2016-04-12 |
| 1447643507 | Lorrine Carrara | Marriage & Family Therapist | 3060 Valencia Ave Ste 7, Aptos, CA 95003 | 2015-03-13 |
| 1417372277 | Maribel Madrigal | Counselor | 9057 Soquel Dr. C, Suite A, Aptos, CA 95003 | 2014-03-03 |
| 1740556604 | Teela Williams | Counselor | 105 Post Ofiice Dr, Suite F, Aptos, CA 95003 | 2012-03-26 |
| 1730452228 | Lisa Dopfel | Speech-Language Pathologist | 116 Glen Drive, Aptos, CA 95003 | 2012-02-15 |
| 1417279506 | Kristen Claassen | Counselor | 3060 Valencia Ave Suite 7, Aptos, CA 95003 | 2010-02-17 |
| 1699904003 | Bridgete H Clark | Dentist | 6500 Soquel Drive, Aptos, CA 95003 | 2009-07-07 |
| 1164658316 | Families Together | Community/Behavioral Health | 9057 Soquel Drive C Ste A, Aptos, CA 95003 | 2009-06-02 |
| 1720237647 | Rebecca Ann Golden | Marriage & Family Therapist | 124 Rancho Del Mar, Aptos, CA 95003 | 2008-09-16 |
| Find all providers in zip 95003 | ||||
| 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 |
|---|---|---|---|---|
| 1528574555 | Jean Shimizu | Dental Hygienist | 125 Sand Hill Rd, Aptos, CA 95003-9729 | 2017-12-28 |
| 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.