Active NPI
Allison Ann Cuevas, MPH
- Dental Hygienist
- Covina, CA
National Provider Identifier
1679137335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 712
- Practice address
- 342 E Italia St
Covina, CA 91723-2203 - Phone
- (626) 720-1192
- NPI assigned
- Apr 29, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 26799 | CA | |
| Dental Hygienist | 124Q00000X | 712 | CA | Primary |
Addresses
Primary practice location
342 E Italia St
Covina, CA 91723-2203
Mailing address
PO Box 3607
Covina, CA 91722-5607
Phone (626) 808-1114
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 833500096 | Medicaid | CA | |
| 833500096 | Other | CA | DELTA DENTAL |
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": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556496000000",
"number": "1679137335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3607",
"city": "COVINA",
"state": "CA",
"postal_code": "917225607",
"telephone_number": "626-808-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 E ITALIA ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917232203",
"telephone_number": "626-720-1192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUEVAS",
"first_name": "ALLISON",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-29",
"last_updated": "2019-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "26799",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "833500096",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "833500096",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.