Active NPI
Silvia Karina Zepeda-Molina
- Dental Hygienist
- Sonoma, CA
National Provider Identifier
1033651518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- RDH 20834
- Practice address
- 19270 Sonoma Highway 12
Sonoma, CA 95476-5414 - Phone
- (707) 939-6070
- Fax
- (707) 939-2272
- NPI assigned
- Nov 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | RDH 20834 | CA | Primary |
Addresses
Primary practice location
19270 Sonoma Highway 12
Sonoma, CA 95476-5414
Mailing address
824 Vineyard Creek Dr
Apt 179
Santa Rosa, CA 95403-9006
Phone (707) 620-3295
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770669715 | Other | CA | MEDI-CAL FQHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RDH 20834 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479168000000",
"number": "1033651518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 VINEYARD CREEK DR",
"address_2": "APT 179",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954039006",
"telephone_number": "707-620-3295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19270 SONOMA HIGHWAY 12",
"city": "SONOMA",
"state": "CA",
"postal_code": "954765414",
"telephone_number": "707-939-6070",
"fax_number": "707-939-2272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEPEDA-MOLINA",
"first_name": "SILVIA",
"middle_name": "KARINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-15",
"last_updated": "2016-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "RDH 20834",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL FQHC",
"identifier": "1770669715",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sonoma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.