Odeth Yadira Coloma

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

RDA92529 Issued in CA

Practice address

7444 Seine Ave
Highland, CA 92346-6528

Phone

(626) 820-3351

NPI assigned

Mar 4, 2021

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1487249074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7444 SEINE AVE",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923466528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7444 SEINE AVE",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923466528",
            "telephone_number": "626-820-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOMA",
        "first_name": "ODETH",
        "middle_name": "YADIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2026-09-29",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "RDA92529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7444 Seine Ave",
            "city": "Highland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923466528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelli Anne Clark, NP
• Nancy Elizabeth Clark, LCSW
• Terry Lee Clayville, O.D.
• Michael J Coen, M.D.
• Bradley A Cole, M.D.
• Marc Kenneth Colunga
• Jan Louise Cooper, O.D., F.A.A.O.
• Jazmin Cordova Kirksey
• Randall E Coriell, M.D.
• Costco Wholesale Corporation (Costco Optical #1715)

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

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