Maria Rhodora Sison Pablo, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

22885 Issued in CA

Practice address

30TH Ados SGGD
338 South Dakota Ave, Ste 1-1300
Vandenberg Afb, CA 93437-6317

Phone

(805) 606-1846

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366588592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 ALCAZAR DR",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551378",
            "telephone_number": "805-925-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30TH ADOS SGGD",
            "address_2": "338 SOUTH DAKOTA AVE, STE 1-1300",
            "city": "VANDENBERG AFB",
            "state": "CA",
            "postal_code": "934376317",
            "telephone_number": "805-606-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABLO",
        "first_name": "MARIA RHODORA",
        "middle_name": "SISON",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "22885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon William Maynard, PSYD, MA
• Phillip Matthew McPeak, M.D.
• Lawrence Daniel Merket, NP
• Skyler Brooke Mott, PA-C
• Alan Jon Napoles, D.D.S.
• Kyle Brandon Palaganas, DDS
• Daniel Alexander Perini, RN
• Melinda Sue Reed, RD, CDE
• Peter Daniel Reinhardt
• Catherine Roland, PHD, CPNP

• All providers in Vandenberg Afb, CA
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.