NPIMap

Organization Active NPI

R. O. Gonzalez DDS, Inc a Professional Corporation

  • General Practice Dentistry
  • Menifee, CA
National Provider Identifier
1245690759
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33202 Issued in CA
Legal business name
R. O. GONZALEZ DDS, INC A PROFESSIONAL CORPORATION
Practice address
29798 Haun Rd
Suite 101
Menifee, CA 92586
Phone
(951) 672-9799
NPI assigned
Feb 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Rolando Oscar Gonzalez, DDS
Title
President
Phone
(951) 672-9799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 33202 CA Primary

Addresses

Primary practice location

29798 Haun Rd
Suite 101
Menifee, CA 92586

Mailing address

29798 Haun Rd.
Suite 101
Menifee, CA 92586
Phone (951) 672-9799

National Provider Directory

National Provider Directory

Locations

29798 Haun Rd
Ste 101
Sun City, CA 92586
Phone (951) 672-9799

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1245690759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29798 HAUN RD.",
            "address_2": "SUITE 101",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "92586",
            "telephone_number": "951-672-9799",
            "fax_number": "951-672-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29798 HAUN RD",
            "address_2": "SUITE 101",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "92586",
            "telephone_number": "951-672-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. O. GONZALEZ DDS, INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_middle_name": "OSCAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-672-9799",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.