DR. SAMANTHA AGUINALDO-WETTERHOLM D.D.S.
NPI 1053775064
Dentist in Oakland, CA

Q: What is Samantha Aguinaldo-wetterholm's NPI number?

The NPI number for Samantha Aguinaldo-wetterholm is 1053775064. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Q: What is Samantha Aguinaldo-wetterholm's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since April 06, 2016PECOS Enrolled

3050 E 16TH ST, OAKLAND, CA 94601(510) 535-4711 Get Directions Write a Review

NPPES record last updated: April 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Samantha Aguinaldo-wetterholm D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMANTHA AGUINALDO-WETTERHOLM D.D.S. (NPI 1053775064) is an individual dentist in Oakland, California, licensed in California (65360) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053775064

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. SAMANTHA AGUINALDO-WETTERHOLMCredential: D.D.S.

Location Address3050 E 16TH STOakland, CA 94601-2319

Mailing Address2208 Lincoln Ave, Apt BAlameda, CA 94501-2928 · (661) 618-0969

Phone(510) 535-4711

Sole ProprietorNo

Enumeration DateApril 6, 2016

✔ NPI 1053775064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 65360

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3050 E 16TH ST, Oakland, CA 94601

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samantha Aguinaldo-wetterholm D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JODENE LOREE BURKLUND RDH

Dental Hygienist

3050 E 16TH ST
OAKLAND, CA 94601

Alameda County (510) 535-4700

DR. PREETI M CHOPRA DDS

Dentist (Periodontics)

3050 E 16TH ST, SUITE # 114
OAKLAND, CA 94601

Alameda County (510) 535-4700

MONICA GRISEL MACVANE-PEARSON DDS

Dentist (General Practice)

3050 E 16TH ST
OAKLAND, CA 94601

Alameda County (510) 535-4700

NORMA SOLARZ DDS

Dentist (General Practice)

3050 E 16TH ST
OAKLAND, CA 94601

Alameda County (510) 535-4700

LA CLINICA DE LA RAZA INC

Clinic/Center (Federally Qualified Health Center (FQHC))

3050 E 16TH ST
OAKLAND, CA 94601

Alameda County (510) 535-4000

JENNIFER SOH DDS

Dentist (General Practice)

3050 E 16TH ST
OAKLAND, CA 94601

Alameda County (510) 535-4700

DR. CHERYL ELACIO LEE

Dentist

3050 E 16TH ST
OAKLAND, CA 94601

Alameda County (510) 535-4700

MICHAEL LEE DDS

Dentist (General Practice)

3050 E 16TH ST
OAKLAND, CA 94601

Alameda County (510) 535-4700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Aguinaldo-wetterholm's NPI number?

The NPI number for Samantha Aguinaldo-wetterholm is 1053775064. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is Samantha Aguinaldo-wetterholm located?

Samantha Aguinaldo-wetterholm practices at 3050 E 16th St, Oakland, CA 94601. The listed phone number is (510) 535-4711.

What is Samantha Aguinaldo-wetterholm's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Samantha Aguinaldo-wetterholm enrolled in Medicare?

Yes. Samantha Aguinaldo-wetterholm is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Aguinaldo-wetterholm was last updated on April 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.