Active NPI
Yadira Gomez, DENTAL HYGIENIST
- Dental Hygienist
- Santa Barbara, CA
National Provider Identifier
1831587146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 26928
- Practice address
- 4141 State St Ste B11
Santa Barbara, CA 93110-1898 - Phone
- (805) 696-1002
- NPI assigned
- Jan 8, 2015
- 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 | 26928 | CA | Primary |
Addresses
Primary practice location
4141 State St Ste B11
Santa Barbara, CA 93110-1898
Mailing address
152 Pacific Ave
Pacific Grove, CA 93950-2579
Phone (925) 519-0391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26928 | Other | CA | LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Indian Health & Services Corporation | Past | Accepting new patients | |
| American Indian Health & Services Corporation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Carpinteria, CA
- NPI 1487204244
-
- Federally Qualified Health Center (FQHC)
- Santa Barbara, CA
- NPI 1740222934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420675200000",
"number": "1831587146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 PACIFIC AVE",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939502579",
"telephone_number": "925-519-0391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 STATE ST STE B11",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931101898",
"telephone_number": "805-696-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "YADIRA",
"credential": "DENTAL HYGIENIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-08",
"last_updated": "2015-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "26928",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "26928",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.