Jessica Parra Terrazas
Dental Assistant in Pomona, CA. Individual provider (NPI-1).
NPI number1982139143
StatusActive
Last updated in NPPESApr 25, 2017
Details
- NPI
- 1982139143
- Entity type
- Individual (NPI-1)
- Name
- Jessica Parra Terrazas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2017
- Last updated
- Apr 25, 2017
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 |
|---|---|---|---|---|
| 126800000X | Dental Assistant | RDA87172 | CA | Yes |
Practice location
763 Rio Rancho RdSuite 120
Pomona, CA 91766-7015
Phone 909-766-1922
Mailing address
763 Rio Rancho Rd Ste 120Pomona, CA 91766-7015
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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All 14 Dental Assistant providers in Pomona · All 6,044 providers in Pomona
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