Renata Carvalho Da Fonseca, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59166 Issued in CA

Practice address

536 East Arrellaga
Ste 101
Santa Barbara, CA 93103-2262

Phone

(805) 687-2400

Fax

(877) 307-7062

NPI assigned

Mar 24, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1033433727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 WASHINGTON BLVD",
            "address_2": "#203",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925442",
            "telephone_number": "310-463-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 EAST ARRELLAGA",
            "address_2": "STE 101",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032262",
            "telephone_number": "805-687-2400",
            "fax_number": "877-307-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DA FONSECA",
        "first_name": "RENATA",
        "middle_name": "CARVALHO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia M Bowers MD Corporation a Professional Medical Corporation
• Serena Cyr, PSY.D.
• David D'Ablaing, M.D.
• Joanne D'Egidio, L.AC.,RN
• Samantha D'Morias
• Mark A Da Re, DDS
• Hallie Dagruma
• Georgina Dahill, MA,MFT
• Jean Palmer Daley, P.H.-D, MFT
• Lisa Lohr Daley, AMFT

• General Practice Dentistry in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.