Dr. Kathrina Agatep, DDS
Dentist in San Diego, CA. Individual provider (NPI-1).
NPI number1407976608
StatusActive
Last updated in NPPESJul 11, 2020
Details
- NPI
- 1407976608
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kathrina Agatep
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2007
- Certification date
- Jul 11, 2020
- Last updated
- Jul 11, 2020
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 |
|---|---|---|---|---|
| 122300000X | Dentist | 51540 | CA | Yes |
Practice location
9540 Waples St Ste ASan Diego, CA 92121-2970
Phone 858-490-4281 · Fax 858-299-5227
Mailing address
9540 Waples St Ste ASan Diego, CA 92121-2970
Phone 858-490-4281 · Fax 858-299-5227
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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