Sally Cahyadi Gonzaga
Individual provider Active NPI General Practice Dentistry · Morro Bay, CA
NPI 1538094768 · NPPES record last updated Jun 17, 2026
Key facts
- NPI
- 1538094768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 113085 (CA)
- Practice address
- 747 Bernardo Ave
Morro Bay, CA 93442-2339 - Phone
- (805) 772-8585
- NPI assigned
- Jun 17, 2026
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ratchford Dental Practice, Inc | General Practice | Past | Accepting new patients |
| Ratchford Dental Practice of Los Osos, Inc. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 113085 | CA | Yes |
Addresses
Primary practice location
747 Bernardo Ave
Morro Bay, CA 93442-2339
Mailing address
1537 Cindee LN
Colton, CA 92324-4843
Phone (909) 771-1811
Other providers in Morro Bay, CA
- Ryan J Garcia
- Jill Diane Garman
- Lisa M Gleason
- Kris F Glines
- Ofelia Marleny Gomez Caballero
- Adrian Grant Goodson
- Leslie Gottesman
- Monika A. Gottlieb
- Sally Elizabeth Hansen
- Hear by the Rock LLC
All providers in Morro Bay, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.