Individual provider Active NPI

Katrina Beatriz Gorospe, DDS

  • General Practice Dentistry
  • San Bernardino, CA
National Provider Identifier
1184578452
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
112612 Issued in CA
Practice address
4434 University Pkwy Ste G
San Bernardino, CA 92407-4681
Phone
(909) 887-1533
Fax
(909) 887-6220
NPI assigned
Feb 24, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 112612 CA Primary

Addresses

Primary practice location

4434 University Pkwy Ste G
San Bernardino, CA 92407-4681

Mailing address

4434 University Pkwy Ste G
San Bernardino, CA 92407-4681
Phone (909) 887-1533

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
112612CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Godoy DDS Inc General Practice PastSince Jun 23, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1184578452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4434 UNIVERSITY PKWY STE G",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924074681",
            "telephone_number": "909-887-1533",
            "fax_number": "909-887-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 UNIVERSITY PKWY STE G",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924074681",
            "telephone_number": "909-887-1533",
            "fax_number": "909-887-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOROSPE",
        "first_name": "KATRINA",
        "middle_name": "BEATRIZ",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "112612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.