Kathleen Mae Delos Reyes Abueva, RDHAP

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

30858 Issued in CA

Practice address

859 N Wilton PL
Los Angeles, CA 90038-4057

Phone

(323) 470-9304

NPI assigned

Feb 24, 2017

Last updated

Apr 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kathleen Mae Julian Delos Reyes Former name

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": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1396285300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 N WILTON PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900384057",
            "telephone_number": "323-470-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 N WILTON PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900384057",
            "telephone_number": "323-470-9304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8251 Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Panorama City",
            "state": "CA",
            "postal_code": "914024306",
            "country_code": "US",
            "telephone_number": "818-891-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABUEVA",
        "first_name": "KATHLEEN MAE",
        "middle_name": "DELOS REYES",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "30858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30858",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "729",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN MAE",
            "last_name": "DELOS REYES",
            "middle_name": "JULIAN",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katayoun Abtin
• Joseph Abu-Dalu, MD
• Amir Abu-Khalil, M.D.
• Reem Ali Abu-Libdeh, MD
• Rachel Abucasis, AUD
• Ahmed Y. M. Abuhamad
• Marwa B Abulhasan, DMD, MS, MMM
• Abundance Psychotherapy Center Inc (Abundance Therapy Center)
• Abundant Life Assisted Living LLC
• Abundant Life Therapy: a Professional Clinical Counselor Corporation

• Dental Hygienist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.