Kathrina Sarmiento, D.D.S.

Individual provider Active NPI General Practice Dentistry · Santee, CA

NPI 1962806901 · NPPES record last updated Sep 28, 2021

Key facts

NPI
1962806901
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
63952 (CA)
Practice address
9535 Mission Gorge Rd
Santee, CA 92071-3859
Phone
(619) 328-1721
NPI assigned
Oct 20, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
63952CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
United States Navy Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 63952 CA Yes

Addresses

Primary practice location

9535 Mission Gorge Rd
Santee, CA 92071-3859

Mailing address

1312 Locust St
San Diego, CA 92106-2608
Phone (619) 764-3380

Other providers in Santee, CA

All providers in Santee, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.