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Jennifer K. Azevedo, RDA, OSA

NPI 1801306493ActiveIndividual· Dental Assistant· Modesto, CA

Dental Assistant (RDA, OSA) in Modesto, California, licensed in CA, with an NPI issued in October 2017.

Overview

NPI1801306493
StatusActive
Entity typeIndividual
CredentialRDA, OSA
Sole proprietorNo
NPI issuedOct 9, 2017
Last updated in NPPESOct 9, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Dental Assistant Primary126800000XRDS77618CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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