Active NPI
Yolanda Delfin Gonzales, DMD
- Dentist
- Sacramento, CA
National Provider Identifier
1699830653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40440
- Practice address
- 2378 Fruitridge Rd
Sacramento, CA 95822 - Phone
- (916) 421-1010
- Fax
- (916) 421-5380
- NPI assigned
- Dec 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 40440 | CA | Primary |
Addresses
Primary practice location
2378 Fruitridge Rd
Sacramento, CA 95822
Mailing address
2378 Fruitridge Rd
Sacramento, CA 95822
Phone (916) 421-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B4044001 | Other | CA | DENTICAL |
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 |
|---|---|---|---|
| 40440 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yolanda D Gonzales DMD Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Sacramento, CA
- NPI 1407911472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1699830653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2378 FRUITRIDGE RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95822",
"telephone_number": "916-421-1010",
"fax_number": "916-421-5380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2378 FRUITRIDGE RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95822",
"telephone_number": "916-421-1010",
"fax_number": "916-421-5380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "YOLANDA",
"middle_name": "DELFIN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "40440",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL",
"identifier": "B4044001",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.