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MR. RANDY RAYMUNDO PENOLIAR RDA
NPI 1053923540
Dental Assistant in North Hills, CA

Active since August 18, 2020
15350 NORDHOFF ST UNIT A15350, NORTH HILLS, CA 91343(818) 724-8416 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Randy Raymundo Penoliar Rda NPPES

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

MR. RANDY RAYMUNDO PENOLIAR RDA (NPI 1053923540) is an individual dental assistant in North Hills, California and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1053923540
Entity TypeIndividualMale
Primary Taxonomy126800000X
Provider Legal NameMR. RANDY RAYMUNDO PENOLIARCredential: RDA
Location Address15350 NORDHOFF ST UNIT A15350North Hills, CA 91343-2234
Mailing Address15350 Nordhoff St Unit A15350North Hills, CA 91343-2234 · (818) 724-8416
Phone(818) 724-8416
Sole ProprietorNo
Enumeration DateAugust 18, 2020
NPPES CertifiedAugust 18, 2020
✔ NPI 1053923540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
15350 NORDHOFF ST UNIT A15350, North Hills, CA 91343
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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 Randy Penoliar's NPI number?

The NPI number for Randy Penoliar is 1053923540. It was assigned to this individual provider in the NPPES registry on August 18, 2020.

Where is Randy Penoliar located?

Randy Penoliar practices at 15350 Nordhoff St Unit A15350, North Hills, CA 91343. The listed phone number is (818) 724-8416.

What is Randy Penoliar's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Randy Penoliar was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.