Active NPI
Pablo L Gonzalez, DMD
- Dentist
- Redding, CA
National Provider Identifier
1063702322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60042
- Practice address
- 1201 Industrial St
Redding, CA 96002-0757 - Phone
- (530) 229-5000
- NPI assigned
- Apr 7, 2011
- Last updated
- Aug 15, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 35903 | TX | |
| Dentist | 122300000X | 60042 | CA | Primary |
Addresses
Primary practice location
1201 Industrial St
Redding, CA 96002-0757
Mailing address
1600 N Sarah Dewitt Dr Ste 206
Gonzales, TX 78629-2714
Phone (702) 748-8244
Other practice location 1
1600 N Sarah DeWitt Dr Ste 206
Gonzales, TX 78629-2714
Phone (026) 267-0447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60042 | CA | MD | Dentist |
| 35903 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1063702322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 N SARAH DEWITT DR STE 206",
"city": "GONZALES",
"state": "TX",
"postal_code": "786292714",
"telephone_number": "702-748-8244",
"fax_number": "702-997-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 INDUSTRIAL ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960020757",
"telephone_number": "530-229-5000"
}
],
"practiceLocations": [
{
"address_1": "1600 N Sarah DeWitt Dr Ste 206",
"address_purpose": "LOCATION",
"city": "Gonzales",
"state": "TX",
"postal_code": "786292714",
"country_code": "US",
"telephone_number": "026-267-0447",
"fax_number": "026-267-0447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "PABLO",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-07",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "35903",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "60042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.