Organization Active NPI

Grisel Gonzalez-Diaz Inc

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1063609196
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GRISEL GONZALEZ-DIAZ INC
Practice address
7201 Arlington Ave Ste a
Riverside, CA 92503-1518
Phone
(951) 785-4200
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Mrs. Grisel Gonzalez-Diaz, DDSNPI 1578576294
Title
President of Corporation
Phone
(951) 785-4200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7201 Arlington Ave Ste a
Riverside, CA 92503-1518

Mailing address

7201 Arlington Ave Ste a
Riverside, CA 92503-1518
Phone (951) 785-4200

Other identifiers 1

IdentifierTypeStateIssuer
G93596-01OtherCADENTI-CAL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1063609196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 ARLINGTON AVE STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925031518",
            "telephone_number": "951-785-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 ARLINGTON AVE STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925031518",
            "telephone_number": "951-785-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRISEL GONZALEZ-DIAZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-DIAZ",
        "authorized_official_first_name": "GRISEL",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "951-785-4200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G93596-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.