Active NPI
Gary Laborada
- Dental Anesthesiology
- Pomona, CA
National Provider Identifier
1730733973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- GA2241
- Practice address
- 1532 San Bernardino Ave
Pomona, CA 91767-3559 - Phone
- (760) 245-0151
- NPI assigned
- Jul 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | GA2241 | CA | Primary |
| Dentist | 122300000X | 104124 | CA |
Addresses
Primary practice location
1532 San Bernardino Ave
Pomona, CA 91767-3559
Mailing address
13156 Flagstaff Dr
Rancho Cucamonga, CA 91739-9262
Phone (909) 471-3764
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 |
|---|---|---|---|
| 104124 | CA | MD | Dentist |
| GA2241 | CA | MD | Dentist Anesthesiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765065600000",
"number": "1730733973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13156 FLAGSTAFF DR",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917399262",
"telephone_number": "909-471-3764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 SAN BERNARDINO AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917673559",
"telephone_number": "760-245-0151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABORADA",
"first_name": "GARY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-25",
"last_updated": "2025-12-07",
"certification_date": "2025-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "CA",
"license": "GA2241",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "104124",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.