Organization Active NPI

Clean Smiles by Darlene Rdhap

  • Home Health Agency
  • Beaumont, CA
National Provider Identifier
1629813720
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CLEAN SMILES BY DARLENE RDHAP
Practice address
960 E 12TH St
Beaumont, CA 92223-1947
Phone
(909) 831-3314
NPI assigned
Jun 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Darlene Vargas, RDHAPNPI 1538913256
Title
Owner
Phone
(909) 831-3314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

960 E 12TH St
Beaumont, CA 92223-1947

Mailing address

960 E 12TH St
Beaumont, CA 92223-1947
Phone (909) 831-3314

Other names 1

  • Clean Smiles by Darlene Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1629813720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 E 12TH ST",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922231947",
            "telephone_number": "909-831-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E 12TH ST",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922231947",
            "telephone_number": "909-831-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAN SMILES BY DARLENE RDHAP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-831-3314",
        "authorized_official_credential": "RDHAP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clean Smiles by Darlene",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.