Rowena Sanchez Gbenoba, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58335 Issued in CA

Practice address

24542 San Marcos Dr
Loma Linda, CA 92354-3220

Phone

(909) 233-4218

NPI assigned

Jul 5, 2009

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rowena Gbenoba a Dental Corporation

  • General Practice Dentistry
  • Winchester, CA
  • NPI 1447801600
  NPD Authorized official

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

{
    "created_epoch": "1246752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246752000000",
    "number": "1710116397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24542 SAN MARCOS DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543220",
            "telephone_number": "909-233-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24542 SAN MARCOS DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543220",
            "telephone_number": "909-233-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBENOBA",
        "first_name": "ROWENA",
        "middle_name": "SANCHEZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-05",
        "last_updated": "2009-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Gautier
• Panagiotis Evangelos Gavathas, DO
• Neria Gavrielov
• Juliana Mary Gazallo, M.D.
• Safwan Gaznabi, MD
• Peilin Ge, MD
• Daniel Howard Joseph Gealer
• Gebert Healthcare Associates Inc
• Matthew Gebre, MD
• Ilish Patricia Gedestad, DO, MPH

• General Practice Dentistry in Loma Linda, CA
• Providers in Loma Linda, 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 Jul 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.