Individual provider Active NPI

Brenda Carcamo-Almendarez

  • Dental Assistant
  • Palmdale, CA
National Provider Identifier
1144865833
Registry record updated Nov 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
RDA92216 Issued in CA
Practice address
37772 Aquarius Cir
Palmdale, CA 93552-3612
Phone
(310) 259-9718
NPI assigned
Nov 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X RDA92216 CA Primary

Addresses

Primary practice location

37772 Aquarius Cir
Palmdale, CA 93552-3612

Mailing address

37772 Aquarius Cir
Palmdale, CA 93552-3612
Phone (310) 259-9718

Other names 1

  • Brenda Carcamo Former name

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

LicenseStateTypeSpecialty
RDA92216CAMDDental Assistant

NPI Registry JSON

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

{
    "created_epoch": "1573948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573948800000",
    "number": "1144865833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37772 AQUARIUS CIR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935523612",
            "telephone_number": "310-259-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37772 AQUARIUS CIR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935523612",
            "telephone_number": "310-259-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARCAMO-ALMENDAREZ",
        "first_name": "BRENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-17",
        "last_updated": "2019-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "RDA92216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "CARCAMO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.