Active NPI
Celeste Villalobos, RDH
- Dental Hygienist
- Glendora, CA
National Provider Identifier
1114501053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 32647
- Practice address
- 2060 E Route 66 Ste 105
Glendora, CA 91740-4691 - Phone
- (626) 594-0374
- NPI assigned
- May 6, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 32647 | CA | Primary |
Addresses
Primary practice location
2060 E Route 66 Ste 105
Glendora, CA 91740-4691
Mailing address
5527 Armsley St
Montclair, CA 91763-2003
Phone (909) 966-7323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19083003 | Other | CA | REGISTERED DENTAL HYGIENIST |
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 |
|---|---|---|---|
| 32647 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wade Melvin Banner D.M.D., Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1114501053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5527 ARMSLEY ST",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917632003",
"telephone_number": "909-966-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 E ROUTE 66 STE 105",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917404691",
"telephone_number": "626-594-0374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLALOBOS",
"first_name": "CELESTE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-06",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "32647",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED DENTAL HYGIENIST",
"identifier": "19083003",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendora, CA
- Julie Anne Verner, PHD
- Elizabeth Vernetti
- Vertu Psychiatry Inc., a Professional Nursing Corporation
- Vigor Hospice and Palliative Care
- Village Fitness and Physical Therapy Inc.
- Humberto Guadalupe Villarreal, M.D.
- Christina Villatoro, LMFT
- Parker Raymond Vincent
- Virtue Home Care Inc
- Vitagen Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.