Cambria Cunningham
Individual provider Active NPI Dentist · Prather, CA
NPI 1104447812 · NPPES record last updated Oct 16, 2024
Key facts
- NPI
- 1104447812
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 106640 (CA)
- Practice address
- 29323 Auberry Rd
Prather, CA 93651-9757 - Phone
- (559) 855-5390
- Fax
- (855) 338-3835
- NPI assigned
- May 4, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106640 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 106640 | CA | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
29323 Auberry Rd
Prather, CA 93651-9757
Mailing address
2740 Herndon Ave
Clovis, CA 93611-6813
Phone (559) 299-2608
Other practice location 1
290 N Wayte Ln Ste 2500
Fresno, CA 93701-2124
Phone (559) 459-6927
Other providers in Prather, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.