Active NPI
Pooja Patel
- General Practice Dentistry
- Rancho Cucamonga, CA
National Provider Identifier
1689366247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS110279
- Practice address
- 11561 Foothill Blvd Ste 104
Rancho Cucamonga, CA 91730-3999 - Phone
- (949) 656-0473
- NPI assigned
- May 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | DDS110279 | CA | Primary |
Addresses
Primary practice location
11561 Foothill Blvd Ste 104
Rancho Cucamonga, CA 91730-3999
Mailing address
3184 E Lavender Dr,
Chino Hills, CA 91709
Phone (949) 656-0473
Other practice location 1
3480 E Ontario Ranch Rd Ste 5
Ontario, CA 91761-3920
Phone (909) 284-4413
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS110279 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rittu Gill, D.D.S., Inc. | Current | Accepting new patients | |
| Louis Stromberg Professional Dental Corporation | General Practice | Past | Accepting new patients |
Locations
3480 E Ontario Ranch Rd
Ste 5
Ontario, CA 91761
Phone (240) 361-7601
Organizations & group practices 2
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
- Ontario, CA
- NPI 1245813286
-
- General Practice Dentistry
- Upland, CA
- NPI 1174610638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1689366247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3184 E LAVENDER DR,",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "91709",
"telephone_number": "949-656-0473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11561 FOOTHILL BLVD STE 104",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303999",
"telephone_number": "949-656-0473"
}
],
"practiceLocations": [
{
"address_1": "3480 E Ontario Ranch Rd Ste 5",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917613920",
"country_code": "US",
"telephone_number": "909-284-4413",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "POOJA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-23",
"last_updated": "2025-06-11",
"certification_date": "2025-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS110279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.