Vanessa Antolinez Kai, DDS
Individual provider Active NPI General Practice Dentistry · Union City, CA
NPI 1386198166 · NPPES record last updated Jan 15, 2021
Key facts
- NPI
- 1386198166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 100635 (CA)
- Practice address
- 2405 Gem Ave
Union City, CA 94587-5213 - Phone
- (408) 571-9502
- NPI assigned
- Aug 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210713001864 | AZ | Order and Referring Only - Dentist |
4082016027 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100635 | CA | MD | Social Worker |
| 010522 | AZ | MD | Pediatric Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 010522 | AZ | |
| General Practice Dentistry | 1223G0001X | 100635 | CA | Yes |
Addresses
Primary practice location
2405 Gem Ave
Union City, CA 94587-5213
Mailing address
703 N Abalone Dr
Gilbert, AZ 85233-0011
Phone (929) 319-5322
Other providers in Union City, CA
- Arnel Angeles
- Giovanna Angeles
- Ann Bess Chanco Dental Prof Corp
- Anna Witanto DDS, Inc.
- Liliikuuipokaiulani Annastas
- Mildred Pasion Arafiles-Reyes
- Giovanna Arechiga
- Janna Arguedas
- Benedict V Armonio
- Geeta Priya Arora
All providers in Union City, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.