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BANCHIAMLAK KENDRIX
NPI 1790445104
Student in an Organized Health Care Education/Training Program in Fontana, CA

Active since December 27, 2021
13666 LIGHTHOUSE CT, FONTANA, CA 92336(909) 509-2214 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Banchiamlak Kendrix NPPES

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

BANCHIAMLAK KENDRIX (NPI 1790445104) is an individual student in an organized health care education/training program in Fontana, California and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1790445104
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBANCHIAMLAK KENDRIX
Location Address13666 LIGHTHOUSE CTFontana, CA 92336-3403
Mailing Address13666 Lighthouse CtFontana, CA 92336-3403
Phone(909) 509-2214
Sole ProprietorNo
Enumeration DateDecember 27, 2021
NPPES CertifiedDecember 24, 2021
✔ NPI 1790445104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
13666 LIGHTHOUSE CT, Fontana, CA 92336
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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 Banchiamlak Kendrix's NPI number?

The NPI number for Banchiamlak Kendrix is 1790445104. It was assigned to this individual provider in the NPPES registry on December 27, 2021.

Where is Banchiamlak Kendrix located?

Banchiamlak Kendrix practices at 13666 Lighthouse Ct, Fontana, CA 92336. The listed phone number is (909) 509-2214.

What is Banchiamlak Kendrix's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Banchiamlak Kendrix was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.