KIMBERLY MARIE TALLAS


Address: 9745 Laurel Canyon, Pacoima, CA 91331
Phone: 2132480532

KIMBERLY MARIE TALLAS (NPI# 1992315956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992315956
Entity Type Individual
Full Name KIMBERLY MARIE TALLAS
Practice Address 9745 Laurel Canyon
Pacoima
CA 91331
Mailing Address 13909 Pinney St
Pacoima
CA 91331-3624
Practice Telephone 2132480532
Mailing Telephone 2132480532
Enumeration Date 2020-08-05
Last Update Date 2020-08-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 126800000X Dental Assistant 89660 Dental Providers

Office Location

Street Address 9745 LAUREL CANYON
City PACOIMA
State CA
Zip Code 91331

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841822574 Hathaway-sycamores Child and Family Services Psychologist 11505 Herrick Ave, Pacoima, CA 91331 2020-02-11
1649810995 Amaris Care Inc Home Health 8953 Woodman Ave Ste 201, Arleta, CA 91331 2020-01-14
1801453758 Hathaway Sycamores Child and Family Services Psychologist 13233 Eustace St., Pacoima, CA 91331 2019-05-28
1083189807 Angelina Rosina Guzman Student in an Organized Health Care Education/Training Program 13459 Filmore St, 1/4, Pacoima, CA 91331 2018-10-08
1467972364 Msa Pharmaceutical Services Corporation Pharmacy 9720 Woodman Ave, Arleta, CA 91331 2017-06-21
1508213588 Yari Meita Fanusie Counselor 11643 Glenoaks Blvd., Pacoima, CA 91331 2016-05-19
1972992915 Ray Ayala Counselor 16643 Glenoaks Bl., Pacoima, CA 91331 2015-01-14
1538569249 Ludivina Gutierrez Occupational Therapist 14061 Terra Bella Street, Arleta, CA 91331 2014-08-29
1043646557 Umoh-chidi Daniel Physical Therapist 12418 Gain St., Pacoima, CA 91331 2013-09-17
1972936961 Vera Ildiko Turi Dentist Arleta Dental Clinic, 8932 Woodman Ave., Arleta, CA 91331 2013-08-14
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Taxonomy Information

Taxonomy Code 126800000X
Grouping Dental Providers
Classification Dental Assistant

Taxonomy Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285254359 Sonya Ascencio Dental Assistant 10957 Jamie Ave, Pacoima, CA 91331-1656 2020-04-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639779499 Candelaria S Muro Dental Assistant 34390 Scotella Rd, Temecula, CA 92592-9352 2020-10-29
1609476647 Corie Zenobia Rideau Dental Assistant 26511 Thoroughbred Ln, Moreno Valley, CA 92555-2965 2020-10-28
1255930921 Darlene Marie Piltingsrud Dental Assistant 13128 14 Th St, Camp Pendelton, CA 92055-5221 2020-10-22
1770182529 Virginia Santiago Williams Dental Assistant 21 Area Dental Clinic, Bldg 210735 C St, Camp Pendleton, CA 92055-5221 2020-10-22
1649878968 Rosalyn Mendoza Dental Assistant 18264 Ramona Ave, Fontana, CA 92336-3060 2020-10-09
1700483062 Alyssa R Mauro Dental Assistant 5681 Raintree Way, Oceanside, CA 92057-4813 2020-10-08
1588261119 Andrea Conners Dental Assistant 13218 Avalon Blvd Apt 219, Los Angeles, CA 90061-2363 2020-10-06
1720695984 Douglas Thomas Duncan Dental Assistant 92055- 14th Strret, Oceanside, CA 92055 2020-09-30
1548877004 Juliaisa Gisselle Caldero Dental Assistant Bldg 13128, Oceanside, CA 92058 2020-09-29
1528675980 Dora Louise Young Dental Assistant 92055 14th Street, Camp Pendleton, CA 92055 2020-09-29
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Competitor

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City PACOIMA
Zip Code 91331

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Dataset Information

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.

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