Kathryn Sue Defraga, RDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

RDA30457 Issued in CA

Practice address

1801 Westwind Dr
Bakersfield, CA 93301-3028

Phone

(661) 632-1842

Fax

(661) 632-1830

NPI assigned

Oct 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1386897866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 WESTWIND DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013028",
            "telephone_number": "661-632-1842",
            "fax_number": "661-632-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 WESTWIND DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013028",
            "telephone_number": "661-632-1842",
            "fax_number": "661-632-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRAGA",
        "first_name": "KATHRYN",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "RDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "RDA30457",
            "primary": true
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "AEF859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deep Enterprise LLC
• Deepthi Cull MD PC
• Elizabeth Ann Deeths, LMFT
• Tony M Deeths, MD
• Cecilia Monique Defillippi
• Grace Defrees
• Ana Degante
• Emily Picar Deguzman, LVN
• Janet Elaine Dehart, OD
• Bortay Dehnadi, D.D.S

• Dental Assistant in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.