Jason Camiling, RDH
Individual provider Active NPI Dental Hygienist · Vallejo, CA
NPI 1992278147 · NPPES record last updated Jan 9, 2019
Key facts
- NPI
- 1992278147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 21860 (CA)
- Practice address
- 133 Plaza Dr
Vallejo, CA 94591-3703 - Phone
- (707) 557-6245
- NPI assigned
- Jan 9, 2019
- Sex
- Male
- 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 |
|---|---|---|---|
| 21860 | CA | MD | Clinical Child & Adolescent Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 21860 | CA | Yes |
Addresses
Primary practice location
133 Plaza Dr
Vallejo, CA 94591-3703
Mailing address
133 Plaza Dr
Vallejo, CA 94591-3703
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21860 | Other | CA | RDH |
| 21860 | Medicaid | CA |
Other providers in Vallejo, CA
- Benito Mangrobang Caliboso Jr.
- California Maritime Academy
- California Rehabilitation & Sports Therapy a California Physical Ther
- Ricardo Calixtro-Lopez
- Johana Camberos
- Linda M Camilleri
- Caminar
- Caminar
- Christin Ann Campbell
- James Campbell
All providers in Vallejo, CA · Dental Hygienist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2019. 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.