Address: 13218 Avalon Blvd Apt 219, Los Angeles, CA 90061-2363
Phone: 4243947579

ANDREA CONNERS (NPI# 1588261119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588261119
Entity Type Individual
Credential RDA
Practice Address 13218 Avalon Blvd Apt 219
Los Angeles
CA 90061-2363
Practice Telephone 4243947579
Mailing Telephone 4243947579
Enumeration Date 2020-10-06
Last Update Date 2020-10-06
Gender Code F
Is Sole Proprietor N


Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 126800000X Dental Assistant 81182 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 81182 05

Office Location

Street Address 13218 AVALON BLVD APT 219
State CA
Zip Code 90061-2363

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NPI Name Taxonomy Address Enumeration
1447882782 Golden State Recuperative Care, Inc. Lodging 153 E. 110th St, Los Angeles, CA 90061 2020-02-05
1235695974 Phyllis Kirby Tisdale Nurse Practitioner 145 E 124th Street, Los Angeles, CA 90061 2019-02-19
1003160003 Alicia Vera Counselor 245 E 120th Street, Los Angeles, CA 90061 2012-10-30
1194044974 Helping Kids To Recover, Inc. Substance Abuse Rehabilitation Facility 12628 Avalon Boulevard, Los Angeles, CA 90061 2010-05-19
1124202817 David Anthony Martinez Counselor 11900 S. Avalon Blvd, 1, Los Angeles, CA 90061 2007-12-18
1255538690 Ceed Security Services Inc Durable Medical Equipment & Medical Supplies 12815 South Avalon Blvd, Los Angeles, CA 90061 2007-06-29
1134335128 Parklane Medical Group Family Medicine 12900 South Avalon Bl., Los Angeles, CA 90061 2007-05-15
1598892184 Jose Rodriguez Counselor 11900 S. Avalon Blvd., Suite 200, Los Angeles, CA 90061 2007-02-28
1316182975 Luis Rabago Counselor 11900 Avalon Blvd, Suite 200, Los Angeles, CA 90061 2008-12-11
1619169406 Emmanuel A Ayodele General Practice 11126 S Main St, Los Angeles, CA 90061 2007-08-15
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Taxonomy Information

Taxonomy Code 126800000X
Grouping Dental Providers
Classification Dental Assistant

Taxonomy Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821604539 Liliana Manzo Dental Assistant 2435 West Blvd, Los Angeles, CA 90016-1660 2020-09-17
1649885211 Niralee Rohit Shah Dental Assistant 10933 Rochester Ave Apt 315, Los Angeles, CA 90024-7715 2020-09-10
1730707548 Elizabeth Rivera Dental Assistant 316 E 25th St, Los Angeles, CA 90011-1406 2020-07-08
1801413778 Catherine Johnson Dental Assistant 325 E 102nd St, Los Angeles, CA 90003-4811 2020-06-26
1366065682 Nayelly Ruby Gutierrez Dental Assistant 149 S Kern Ave, Los Angeles, CA 90022-1626 2020-05-20
1104449511 Noemi Paredes Dental Assistant 3838 1/2 Crawford St, Los Angeles, CA 90011-2889 2020-05-19
1548802887 David Octavio Torres Dental Assistant 1323 E 78th St, Los Angeles, CA 90001-3015 2019-10-08
1821654633 Maria R Rangel Dental Assistant 6215 Holmes Ave, Los Angeles, CA 90001-1821 2019-05-16
1215498167 Eufemia Gracia Dental Assistant 2346 S Cloverdale Ave, Los Angeles, CA 90016-2121 2019-03-25
1326528563 Geremias Aguilar Jr. Dental Assistant 481 E Avenue 28 Apt 4, Los Angeles, CA 90031-2076 2018-08-16
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Zip Code 90061

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.