Sayra Maria Antolin
Individual provider Active NPI Dental Assistant · Artesia, CA
NPI 1891301909 · NPPES record last updated Sep 23, 2020
Key facts
- NPI
- 1891301909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Assistant 126800000X
- License
- 93134 (CA)
- Practice address
- 11635 South St
Artesia, CA 90701-6628 - Phone
- (562) 924-4401
- NPI assigned
- Sep 23, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93134 | CA | MD | Dental Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 93134 | CA | Yes |
Addresses
Primary practice location
11635 South St
Artesia, CA 90701-6628
Mailing address
1303 Via Santiago Unit C
Corona, CA 92882-3828
Phone (714) 395-3451
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93134 | Medicaid | CA |
Other providers in Artesia, CA
- Nelda Amini
- Aileen Andrion
- Angelcare Hospice
- Angels TLC Home Inc
- Anna Belle a. Cuyong, D.M.D., Inc.
- Applied Natural Health, Inc.
- Monica Cruz Araneta
- Arms Sleep Diagnostic Center
- Arms Sleep Diagnostic Center
- Artesia Christian Home, Inc.
All providers in Artesia, CA · Dental Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.