MS. ERICA BERENICE LICEA RDA ORTHO ASSISTANT
NPI 1376002287
Dental Assistant in Rialto, CA

Q: What is Erica Licea's NPI number?

The NPI number for Erica Licea is 1376002287. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Q: What is Erica Licea's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Erica Licea was last updated on March 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 19, 2019

1342 W LA GLORIA DR, RIALTO, CA 92377(951) 465-9162 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Erica Berenice Licea Rda Ortho Assistant NPPES

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

MS. ERICA BERENICE LICEA RDA ORTHO ASSISTANT (NPI 1376002287) is an individual dental assistant in Rialto, California, licensed in California (66604) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1376002287

Entity TypeIndividualFemale

Primary Taxonomy126800000X

Provider Legal NameMS. ERICA BERENICE LICEACredential: RDA ORTHO ASSISTANT

Location Address1342 W LA GLORIA DRRialto, CA 92377-4466

Mailing Address1342 W La Gloria DrRialto, CA 92377-4466 · (951) 465-9162

Phone(951) 465-9162

Sole ProprietorNo

Enumeration DateMarch 19, 2019

✔ NPI 1376002287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers

Taxonomy Code126800000X

License✔ Licensed in CA · 66604

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.

1342 W LA GLORIA DR, Rialto, CA 92377

Open in Google Maps ↗

Other Identifiers 1

Medicaid66604CA

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 Erica Licea's NPI number?

The NPI number for Erica Licea is 1376002287. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Erica Licea located?

Erica Licea practices at 1342 W La Gloria Dr, Rialto, CA 92377. The listed phone number is (951) 465-9162.

What is Erica Licea'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 Erica Licea was last updated on March 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.