Gloria Elizabeth Palencia, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42592 Issued in CA

Practice address

2735 N Blackstone Ave
Fresno, CA 93703-1705

Phone

(559) 225-3391

Fax

(559) 225-1601

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Palencia Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1487737029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3039 W FAIRMONT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224018",
            "telephone_number": "559-546-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 N BLACKSTONE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031705",
            "telephone_number": "559-225-3391",
            "fax_number": "559-225-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALENCIA",
        "first_name": "GLORIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "PALENCIA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Erbe Palafox, D.D.S.
• Naga Swathi Palakodety, M.D
• Chandrasekar Palaniswamy, MD
• Swapna Palav, MD
• David Palecek, NP-C
• John Brandon Paley
• Matthew Paliughi, PHARMD
• Vishal Pall, MD
• Cheyenne Marie Pallares, MSW
• Meliton V. Pallares Jr., RN

• General Practice Dentistry in Fresno, CA
• Providers in Fresno, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.