Sally Cahyadi Gonzaga

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

113085 Issued in CA

Practice address

747 Bernardo Ave
Morro Bay, CA 93442-2339

Phone

(805) 772-8585

NPI assigned

Jun 17, 2026

Last updated

Jun 17, 2026By the provider in NPPES

Sex

Female

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ratchford Dental Practice of Los Osos, Inc.

  • General Practice Dentistry
  • Los Osos, CA
  • NPI 1730530668
  NPD (past)
• Ratchford Dental Practice, Inc

  dba Morro Bay Family Dentistry

  • General Practice Dentistry
  • Morro Bay, CA
  • NPI 1982013066
  NPD (past)

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1538094768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 CINDEE LN",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244843",
            "telephone_number": "909-771-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 BERNARDO AVE",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934422339",
            "telephone_number": "805-772-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZAGA",
        "first_name": "SALLY",
        "middle_name": "CAHYADI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "113085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan J Garcia, D.D.S.
• Jill Diane Garman, LCSW
• Lisa M Gleason, MD
• Kris F Glines, RN
• Ofelia Marleny Gomez Caballero, PPS
• Adrian Grant Goodson, DPT
• Leslie Gottesman, LMT
• Monika A. Gottlieb, M.D.
• Sally Elizabeth Hansen, O.D.
• Hear by the Rock LLC (Morro Bay Hearing Aid Center)

• General Practice Dentistry in Morro Bay, CA
• Providers in Morro Bay, 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 Jun 17, 2026; 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.