Yessenia Socorro Medina, RDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

67920 Issued in CA

Practice address

104 N Robin Privado
Ontario, CA 91764

Phone

(909) 455-3182

NPI assigned

Dec 6, 2011

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

Other names 1

• Mrs. Yessenia Socorro Ngo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1619245685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N ROBIN PRIVADO",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644110",
            "telephone_number": "909-455-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N ROBIN PRIVADO",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91764",
            "telephone_number": "909-455-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "YESSENIA",
        "middle_name": "SOCORRO",
        "name_prefix": "Miss",
        "credential": "RDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "67920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YESSENIA",
            "last_name": "NGO",
            "middle_name": "SOCORRO",
            "prefix": "MRS.",
            "credential": "RDA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Julissa Medina
• Kiara Janelle Medina
• Michelle Medina
• Sherlin Medina
• Valerie Medina
• Jeanine Cristal Medrano-Perez
• Geraldine Medrano
• Medsense Medical, Inc.
• Meena K Meka MD Inc
• Mega Wellness Acupuncture and Herbs LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.