Sebastian Andrew Gonzales, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30931 Issued in CA

Practice address

18700 Main St Ste 206
Huntington Beach, CA 92648-1714

Phone

(714) 375-0959

Fax

(714) 375-0961

NPI assigned

May 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1518172006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 MAIN ST STE 206",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481714",
            "telephone_number": "714-375-0959",
            "fax_number": "714-375-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 MAIN ST STE 206",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481714",
            "telephone_number": "714-375-0959",
            "fax_number": "714-375-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "SEBASTIAN",
        "middle_name": "ANDREW",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Gomez
• Miryam Gomez
• Valerie Gomez, WHNP-BC
• Kaiulani Miyoshi Gonzales
• Mateo Gonzales
• Zinna Gonzales
• Citlali Gonzalez Camarena
• Abel E Gonzalez III
• Alina Gonzalez
• Destiny Gonzalez

• General Practice Dentistry in Huntington Beach, CA
• Providers in Huntington Beach, 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 17, 2022; 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.