Individual provider Active NPI

Jenny Lou Gularte, R.D.H., O.M.T.

  • Dental Hygienist
  • San Diego, CA
National Provider Identifier
1619279932
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
RDH9314 Issued in CA
Practice address
12209 Brassica St
San Diego, CA 92129-4125
Phone
(858) 484-6006
Fax
(858) 484-6001
NPI assigned
Nov 18, 2010
Last updated
Nov 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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 RDH9314 CA Primary

Addresses

Primary practice location

12209 Brassica St
San Diego, CA 92129-4125

Mailing address

12209 Brassica St
San Diego, CA 92129-4125
Phone (858) 484-6006

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
RDH9314CAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1619279932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12209 BRASSICA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294125",
            "telephone_number": "858-484-6006",
            "fax_number": "858-484-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12209 BRASSICA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294125",
            "telephone_number": "858-484-6006",
            "fax_number": "858-484-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULARTE",
        "first_name": "JENNY",
        "middle_name": "LOU",
        "credential": "R.D.H., O.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDH9314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.