Active NPI
Jennifer Rae Branch Rios, RDH
- Dental Hygienist
- Glendora, CA
National Provider Identifier
1265386817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 34741
- Practice address
- 836 S Grand Ave
Glendora, CA 91740-4806 - Phone
- (626) 852-1711
- NPI assigned
- Feb 23, 2026
- Last updated
- Feb 23, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 34741 | CA | Primary |
| Dental Assistant | 126800000X | 77736 | CA |
Addresses
Primary practice location
836 S Grand Ave
Glendora, CA 91740-4806
Mailing address
855 Asbury Ave
Pomona, CA 91767-2601
Phone (626) 610-6129
Other practice location 1
20527 Yorba Linda Blvd
Yorba Linda, CA 92886-7109
Phone (714) 660-1890
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 |
|---|---|---|---|
| 34741 | CA | MD | Dental Hygienist |
| 77736 | CA | MD | Dental Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jaclyn W. Bae, DDS 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jaclyn W. Bae, DDS Inc dba Sunshine Pediatric Dentistry
- Pediatric Dentistry
- Yorba Linda, CA
- NPI 1144963117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1265386817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 ASBURY AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917672601",
"telephone_number": "626-610-6129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 S GRAND AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917404806",
"telephone_number": "626-852-1711"
}
],
"practiceLocations": [
{
"address_1": "20527 Yorba Linda Blvd",
"address_purpose": "LOCATION",
"city": "Yorba Linda",
"state": "CA",
"postal_code": "928867109",
"country_code": "US",
"telephone_number": "714-660-1890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIOS",
"first_name": "JENNIFER RAE",
"middle_name": "BRANCH",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-23",
"last_updated": "2026-02-23",
"certification_date": "2026-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "34741",
"primary": true
},
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "77736",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.