Renee Louise Gonzalez, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49890 Issued in CA

Legal business name

RENEE LOUISE GONZALEZ, DDS, INC.

Doing business as

Oceanfront Dental Care

Practice address

2305 Morena Blvd
Suite a
San Diego, CA 92110-4166

Phone

(619) 276-2145

Fax

(619) 276-2305

NPI assigned

Dec 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Renee Louise Gonzalez, DDS

Title

President/Owner

Phone

(619) 276-2145

Specialties & licenses 1

Addresses

Other names 1

• Oceanfront Dental Care Doing business as

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1184169443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 MORENA BLVD",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104166",
            "telephone_number": "619-276-2145",
            "fax_number": "619-276-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 MORENA BLVD",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104166",
            "telephone_number": "619-276-2145",
            "fax_number": "619-276-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE LOUISE GONZALEZ, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "619-276-2145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oceanfront Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Rendon
• Paula Fernanda Rendon
• Rossy Rendon
• Rachelle Rene, PH.D., BCB, HSM
• Tyann Reneau
• Catelyn Renna, PA-C
• Brittany Anne Renne
• John W Renner, MD
• Shawn Renner, PT
• Laurie Rennie, LCSW

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.