Gonzalez Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

52392 Issued in CA

Legal business name

GONZALEZ DENTAL GROUP

Doing business as

Arnaldo Gonzalez DDS a dental corp

Practice address

2139 Tapo St
Suite 101
Simi Valley, CA 93063-3478

Phone

(805) 582-2571

Fax

(805) 583-3626

NPI assigned

Jan 30, 2015

Last updated

Jan 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Maritza Lizbeth Ceja

Title

Treatment Coordinator

Phone

(805) 582-2571

Specialties & licenses 1

Addresses

Other names 1

• Arnaldo Gonzalez DDS a dental corp Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arnaldo Gonzalez, DDS

  • General Practice Dentistry
  • Simi Valley, CA
  • NPI 1720132913
  NPD (past)

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1205226073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 TAPO ST",
            "address_2": "SUITE 101",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633478",
            "telephone_number": "805-582-2571",
            "fax_number": "805-583-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 TAPO ST",
            "address_2": "SUITE 101",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633478",
            "telephone_number": "805-582-2571",
            "fax_number": "805-583-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALEZ DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "CEJA",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_middle_name": "LIZBETH",
        "authorized_official_title_or_position": "TREATMENT COORDINATOR",
        "authorized_official_telephone_number": "805-582-2571",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arnaldo Gonzalez DDS a dental corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Galilea Gomez Apodaca
• Yaritza Yazmin Gomez Suazo
• Natalia Abigail Gomez, AMFT/APCC
• Branae K Gonsalves, ASW
• Emma Gonzales
• Arnaldo Gonzalez, DDS
• Paola Gonzalez
• Soha Heidari Gonzalez, PSYD
• Good Living Congregate
• Kristina Marie Goretti, FNP-C

• Dentist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.