Active NPI
Monika Yvonne Sierra, RDA
- Dental Assistant
- Sylmar, CA
National Provider Identifier
1245905413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- RDA89173
- Practice address
- 13045 Jamie Ave
Sylmar, CA 91342-4145 - Phone
- (818) 923-2045
- NPI assigned
- Aug 10, 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 Assistant | 126800000X | RDA89173 | CA | Primary |
Addresses
Primary practice location
13045 Jamie Ave
Sylmar, CA 91342-4145
Mailing address
13045 Jamie Ave
Sylmar, CA 91342-4145
Phone (818) 923-2045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RDA89173 | Medicaid | CA |
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 |
|---|---|---|---|
| RDA89173 | CA | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1245905413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13045 JAMIE AVE",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913424145",
"telephone_number": "818-923-2045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13045 JAMIE AVE",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913424145",
"telephone_number": "818-923-2045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIERRA",
"first_name": "MONIKA",
"middle_name": "YVONNE",
"credential": "RDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-10",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "RDA89173",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RDA89173",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sylmar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.