Individual provider Active NPI

Rowena Sanchez Gbenoba, DDS

  • General Practice Dentistry
  • Winchester, CA
National Provider Identifier
1710116397
Registry record updated Nov 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58335 Issued in CA
Practice address
30688 Benton Rd Ste B102
Winchester, CA 92596-8469
Phone
(909) 549-8150
Fax
(951) 235-7737
NPI assigned
Jul 5, 2009
Last updated
Nov 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 58335 CA Primary

Addresses

Primary practice location

30688 Benton Rd Ste B102
Winchester, CA 92596-8469

Mailing address

24542 San Marcos Dr
Loma Linda, CA 92354-3220
Phone (909) 233-4218

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201203001539 CA Practitioner - Oral Surgery 0941611537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58335CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rowena Gbenoba a Dental Corporation General Practice CurrentSince Sep 1, 2020 Accepting new patients

Locations

30688 Benton Rd
Ste B102
Winchester, CA 92596
Phone (951) 325-7776

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1246752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793836800000",
    "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": "30688 BENTON RD STE B102",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925968469",
            "telephone_number": "909-549-8150",
            "fax_number": "951-235-7737"
        }
    ],
    "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": "2026-11-05",
        "certification_date": "2026-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, CA

Sources for this page

Verify at the official NPI Registry.