Healthcare Provider Details

I. General information

NPI: 1265372056
Provider Name (Legal Business Name): ADRIANNA H MCFADDEN RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20326 MAIN ST
STRATFORD CA
93266
US

IV. Provider business mailing address

20326 MAIN ST
STRATFORD CA
93266
US

V. Phone/Fax

Practice location:
  • Phone: 559-947-3505
  • Fax: 559-947-3503
Mailing address:
  • Phone: 559-947-3505
  • Fax: 559-947-3503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number36452
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: