Jaime Gonzalez DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

55982 Issued in CA

Legal business name

JAIME GONZALEZ DDS INC

Practice address

1516 Main St Ste 106a
Ramona, CA 92065-5242

Phone

(780) 787-0962

Fax

(760) 787-0851

NPI assigned

Jun 5, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ana Patricia Lopez

Title

Business Manager

Phone

(617) 309-0291

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaime Gonzalez, DDS

  • General Practice Dentistry
  • Ramona, CA
  • NPI 1629249412
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1043479843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 MAIN ST STE 106A",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920655242",
            "telephone_number": "780-787-0962",
            "fax_number": "760-787-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 MAIN ST STE 106A",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920655242",
            "telephone_number": "780-787-0962",
            "fax_number": "760-787-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME GONZALEZ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "617-309-0291",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Darnell Homesley, OD
• Milena Minkova Hristeva
• Matthew Hubbs, IMF
• Kara-Leigh Jacobsen Huse, ATR-BC
• Kayla Imhoff
• Joshua Jensen, DC
• William Brandon Jergensen, DDS
• John R. Harper III, MD a Professional Corporation
• Marla Johnson
• Karelle Jones, MS, PPS

• Dentist in Ramona, CA
• Providers in Ramona, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.