Individual provider Active NPI

Carmelyn Fatima Maglalang Paguio, RDHAP

  • Dental Hygienist
  • Pope Valley, CA
National Provider Identifier
1548014608
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
926 Issued in CA
Practice address
2249 Stagecoach Canyon Rd
Pope Valley, CA 94567-9425
Phone
(707) 339-8060
NPI assigned
Apr 15, 2024
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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 926 CA Primary

Addresses

Primary practice location

2249 Stagecoach Canyon Rd
Pope Valley, CA 94567-9425

Mailing address

5 Angwin PLZ Unit 314
Angwin, CA 94508-1010
Phone (707) 339-8060

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
926CAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1548014608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ANGWIN PLZ UNIT 314",
            "city": "ANGWIN",
            "state": "CA",
            "postal_code": "945081010",
            "telephone_number": "707-339-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2249 STAGECOACH CANYON RD",
            "city": "POPE VALLEY",
            "state": "CA",
            "postal_code": "945679425",
            "telephone_number": "707-339-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGUIO",
        "first_name": "CARMELYN FATIMA",
        "middle_name": "MAGLALANG",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pope Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.