Individual provider Active NPI

Catalina Kornblueh Perez, RDHAP, RDH

  • Dental Hygienist
  • Sunnyvale, CA
National Provider Identifier
1508189358
Registry record updated Apr 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
HAP 264 Issued in CA
Practice address
100 S Murphy Ave Ste 200
Sunnyvale, CA 94086-6118
Phone
(650) 861-1965
Fax
(650) 434-0418
NPI assigned
Mar 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X HAP 264 CA Primary

Addresses

Primary practice location

100 S Murphy Ave Ste 200
Sunnyvale, CA 94086-6118

Mailing address

100 S Murphy Ave Ste 200
Sunnyvale, CA 94086-6118
Phone (650) 861-1965

Other names 1

  • Ms. Catalina Blanco Perez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HAP 264CAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1508189358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MURPHY AVE STE 200",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940866118",
            "telephone_number": "650-861-1965",
            "fax_number": "650-434-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MURPHY AVE STE 200",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940866118",
            "telephone_number": "650-861-1965",
            "fax_number": "650-434-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNBLUEH PEREZ",
        "first_name": "CATALINA",
        "name_prefix": "Ms.",
        "credential": "RDHAP, RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "HAP 264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATALINA",
            "last_name": "BLANCO PEREZ",
            "prefix": "MS.",
            "credential": "RDHAP, RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; 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.