Active NPI
R.Gonzalez DDS, Inc.
- General Practice Dentistry
- Santa Ana, CA
National Provider Identifier
1295883403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33202
- Legal business name
- R.GONZALEZ DDS, INC.
- Practice address
- 431 E 1St St
Suite 4a
Santa Ana, CA 92701-5303 - Phone
- (714) 541-6333
- Fax
- (714) 541-0680
- NPI assigned
- Jan 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rolando Oscar Gonzalez, DDS
- Title
- President
- Phone
- (714) 541-6333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 33202 | CA | Primary |
Addresses
Primary practice location
431 E 1St St
Suite 4a
Santa Ana, CA 92701-5303
Mailing address
431 E 1St St
Suite 4a
Santa Ana, CA 92701-5303
Phone (714) 541-6333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B3320201 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
431 E 1st St
Ste 4A
Santa Ana, CA 92701
Phone (714) 541-6333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Santa Ana, CA
- NPI 1851569735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202860800000",
"number": "1295883403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 E 1ST ST",
"address_2": "SUITE 4A",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927015303",
"telephone_number": "714-541-6333",
"fax_number": "714-541-0680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 E 1ST ST",
"address_2": "SUITE 4A",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927015303",
"telephone_number": "714-541-6333",
"fax_number": "714-541-0680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R.GONZALEZ DDS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-07",
"last_updated": "2008-02-13",
"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": "714-541-6333",
"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": "33202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B3320201",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.