Mary Kimberly Gonzalez Arebalo, RDH, HAP

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

HAP1088 Issued in CA

Practice address

7510 Zemco Dr
Lemon Grove, CA 91945-4061

Phone

(619) 708-4278

NPI assigned

Aug 14, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1245062751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 ZEMCO DR",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919454061",
            "telephone_number": "619-708-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 ZEMCO DR",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919454061",
            "telephone_number": "619-708-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ AREBALO",
        "first_name": "MARY",
        "middle_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "RDH, HAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDH29595",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "HAP1088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorse Gilbert
• Kenneth Giorgi, NP
• Danyelle Goldstein
• Oscar R Gongora
• Issela Alicia Gonzales
• Diana Angelica Gonzalez, BS
• Kimberly M Gonzalez, D.C.
• Ophelia Maria Gonzalez
• Laura Gordon
• Marie Grady, CNA

• Dental Hygienist in Lemon Grove, CA
• Providers in Lemon Grove, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.