Active NPI
Julie Danelle Reyes, R.D.H.
- Dental Hygienist
- Marina, CA
National Provider Identifier
1609202159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 27393
- Practice address
- 3306 Del Monte Blvd Apt 30
Marina, CA 93933-2432 - Phone
- (831) 277-1181
- NPI assigned
- Sep 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 27393 | CA | Primary |
Addresses
Primary practice location
3306 Del Monte Blvd Apt 30
Marina, CA 93933-2432
Mailing address
3306 Del Monte Blvd Apt 30
Marina, CA 93933-2432
Phone (831) 277-1181
Other names 1
- Mrs. Julie Danelle Balesteri
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27393 | CA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1609202159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3306 DEL MONTE BLVD APT 30",
"city": "MARINA",
"state": "CA",
"postal_code": "939332432",
"telephone_number": "831-277-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3306 DEL MONTE BLVD APT 30",
"city": "MARINA",
"state": "CA",
"postal_code": "939332432",
"telephone_number": "831-277-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "JULIE",
"middle_name": "DANELLE",
"name_prefix": "Ms.",
"credential": "R.D.H.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-16",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "27393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "BALESTERI",
"middle_name": "DANELLE",
"prefix": "MRS.",
"credential": "R.D.H.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Marina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.