Individual provider Active NPI

Jennifer Rae Branch Rios, RDH

  • Dental Hygienist
  • Glendora, CA
National Provider Identifier
1265386817
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
34741 Issued in CA
Practice address
836 S Grand Ave
Glendora, CA 91740-4806
Phone
(626) 852-1711
NPI assigned
Feb 23, 2026
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
34741CAMDDental Hygienist
77736CAMDDental Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jaclyn W. Bae, DDS Inc PastSince Apr 24, 2022 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.

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.

Verify at the official NPI Registry.