Cabrillo College

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

22173 Issued in CA

Legal business name

CABRILLO COLLEGE

Practice address

6500 Soquel Dr
Aptos, CA 95003-3119

Phone

(831) 479-6431

NPI assigned

Jun 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bridgete H ClarkNPI 1699904003

Title

Program Chair

Phone

(831) 479-6431

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Cabrillo College2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cabrillo Community College

  • Clinic/Center
  • Aptos, CA
  • NPI 1184793143
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bridgete H Clark, DDS

  • Dentist
  • Aptos, CA
  • NPI 1699904003
  NPD (past) Authorized official
• Brenda Jacqueline Ochoa, MSW

  • Counselor
  • Aptos, CA
  • NPI 1326325689
  NPD (past)
• Mark Stephen Ramsey, MA, ATC, CSCS, CES

  • Athletic Trainer
  • Aptos, CA
  • NPI 1437546686
  NPD (past)
• Stephen C. Smith, D.D.S.

  • Periodontics
  • Aptos, CA
  • NPI 1518982040
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962607333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 SOQUEL DR",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033119",
            "telephone_number": "831-479-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 SOQUEL DR",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033119",
            "telephone_number": "831-479-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABRILLO COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BRIDGETE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PROGRAM CHAIR",
        "authorized_official_telephone_number": "831-479-6431",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "22173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "22173",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Jean Brown, LM, RN
• Ann E Brownstone, MS OTR/L; SWC
• Mark Burdick, PH.D.
• Erin Burklin, CCC-SLP
• Valerie Joanne Byrne, LMFT
• Cabrillo Community College
• California Orthopedic & Sports Therapy Rehabilitation Services, Inc.
• Daniel Edward Campbell
• Alexia Cardoso Moreno
• Care All Psychiatric SVCS

• Dental Hygienist in Aptos, CA
• Providers in Aptos, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.