Alize Medina Ceballos, RDH
Dental Hygienist in Willows, CA. Individual provider (NPI-1).
NPI number1255713699
StatusActive
Last updated in NPPESJul 29, 2026
Details
- NPI
- 1255713699
- Entity type
- Individual (NPI-1)
- Name
- Ms. Alize Medina Ceballos
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2015
- Certification date
- Jul 29, 2026
- Last updated
- Jul 29, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 36356 | CA | Yes |
Practice location
207 N Butte StWillows, CA 95988-2803
Phone 530-934-4641
Mailing address
207 N Butte StWillows, CA 95988-2803
Phone 530-934-4641
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