Active NPI
Linda A Branch, RDA
- Dental Assistant
- Alpine, CA
National Provider Identifier
1962775429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 39447
- Practice address
- 4058 Willows Rd
Alpine, CA 91901-1668 - Phone
- (619) 445-1188
- NPI assigned
- Feb 14, 2012
- Last updated
- Feb 14, 2012
- 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 Assistant | 126800000X | 39447 | CA | Primary |
Addresses
Primary practice location
4058 Willows Rd
Alpine, CA 91901-1668
Mailing address
30037 Canvasback Dr
Campo, CA 91906-1455
Phone (619) 838-6712
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39447 | CA | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1962775429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30037 CANVASBACK DR",
"city": "CAMPO",
"state": "CA",
"postal_code": "919061455",
"telephone_number": "619-838-6712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4058 WILLOWS RD",
"city": "ALPINE",
"state": "CA",
"postal_code": "919011668",
"telephone_number": "619-445-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANCH",
"first_name": "LINDA",
"middle_name": "A",
"credential": "RDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-14",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "39447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.