Organization Active NPI

R.Gonzalez DDS, Inc.

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1295883403
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33202 Issued in CA
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

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Dr. Rolando Oscar Gonzalez, DDSNPI 1851569735
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
B3320201MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.