Anderson Valley Health Center Ukiah Dental Practice

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ANDERSON VALLEY HEALTH CENTER UKIAH DENTAL PRACTICE

Practice address

1091 S Dora St
Ukiah, CA 95482-5736

Phone

(707) 895-3477

Fax

(707) 895-2035

NPI assigned

Oct 15, 2026

Last updated

Oct 15, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

ANDERSON VALLEY HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Fabiola Perez

Title

Operations Director

Phone

(707) 895-3477

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1912803065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "BOONVILLE",
            "state": "CA",
            "postal_code": "954150338",
            "telephone_number": "707-895-3477",
            "fax_number": "707-895-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825736",
            "telephone_number": "707-895-3477",
            "fax_number": "707-895-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON VALLEY HEALTH CENTER UKIAH DENTAL PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANDERSON VALLEY HEALTH CENTER",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "FABIOLA",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "707-895-3477"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Amrouche
• Sylvester I Anaje
• Anchor Health Management, Inc.
• Anchor Health Management, Inc.
• Anchor Health Management, Inc.
• Benjamin Joseph Anderson, LCSW
• Bonnie J Anderson, MFT
• Daniel L Anderson, MFT
• Lara C Anderson
• Sara Marlene Anderson, NUTRITIONIST

• General Practice Dentistry in Ukiah, CA
• Providers in Ukiah, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.