Organization Active NPI

Yolanda D Gonzales DMD Inc

  • Dentist
  • Sacramento, CA
National Provider Identifier
1407911472
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40440 Issued in CA
Legal business name
YOLANDA D GONZALES DMD INC
Practice address
2378 Fruitridge Rd
Sacramento, CA 95822
Phone
(916) 421-1010
Fax
(916) 421-5380
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Yolanda Delfin Gonzales, DMDNPI 1699830653
Title
Dentist
Phone
(916) 421-1010

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 40440 CA Primary

Addresses

Primary practice location

2378 Fruitridge Rd
Sacramento, CA 95822

Mailing address

2378 Fruitridge Rd
Sacramento, CA 95822-3148
Phone (916) 421-1010

Other identifiers 1

IdentifierTypeStateIssuer
B4044001OtherCADENTICAL

Other names 1

  • Yolanda D Gonzales DMD Inc Doing business as

National Provider Directory

National Provider Directory

Locations

2378 Fruitridge Rd
Sacramento, CA 95822
Phone (916) 421-1010

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407911472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2378 FRUITRIDGE RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958223148",
            "telephone_number": "916-421-1010",
            "fax_number": "916-421-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2378 FRUITRIDGE RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95822",
            "telephone_number": "916-421-1010",
            "fax_number": "916-421-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOLANDA D GONZALES DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "DELFIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "916-421-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B4044001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yolanda D Gonzales DMD Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.