Active NPI
Jacqueline Munoz, RDH
- Dental Hygienist
- San Fernando, CA
National Provider Identifier
1639474380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 25278
- Practice address
- 1600 San Fernando Rd
San Fernando, CA 91340-3115 - Phone
- (818) 365-8086
- Fax
- (818) 898-4826
- NPI assigned
- Jan 11, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 25278 | CA | Primary |
Addresses
Primary practice location
1600 San Fernando Rd
San Fernando, CA 91340-3115
Mailing address
1052 W 43Rd St
Los Angeles, CA 90037-2403
Phone (323) 232-0068
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1639474380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1052 W 43RD ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900372403",
"telephone_number": "323-232-0068",
"fax_number": "323-232-0068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SAN FERNANDO RD",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913403115",
"telephone_number": "818-365-8086",
"fax_number": "818-898-4826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ",
"first_name": "JACQUELINE",
"name_prefix": "Miss",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-11",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "25278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.