Active NPI
Hendrick Gonzalez
- Dentist
- Santa Maria, CA
National Provider Identifier
1427415652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 50604
- Practice address
- 620 W Main St
Santa Maria, CA 93458-5035 - Phone
- (805) 922-7725
- Fax
- (805) 922-7726
- NPI assigned
- Jan 19, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 50604 | CA | Primary |
Addresses
Primary practice location
620 W Main St
Santa Maria, CA 93458-5035
Mailing address
620 W Main St
Santa Maria, CA 93458-5035
Phone (805) 922-7725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50604 | Other | CA | DENTAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arasteh DDS Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Santa Maria, CA
- NPI 1407316763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1427415652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 W MAIN ST",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934585035",
"telephone_number": "805-922-7725",
"fax_number": "805-922-7726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 W MAIN ST",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934585035",
"telephone_number": "805-922-7725",
"fax_number": "805-922-7726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "HENDRICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-19",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "50604",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "50604",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.