Saul U Gonzalez Medina, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

108027 Issued in CA

Practice address

24148 Lyons Ave
Newhall, CA 91321-2442

Phone

(661) 799-3920

NPI assigned

Oct 24, 2022

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1740907583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17270 MITCHELL DR UNIT 1207",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913873768",
            "telephone_number": "661-972-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24148 LYONS AVE",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212442",
            "telephone_number": "661-799-3920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13177 Osborne St",
            "address_purpose": "LOCATION",
            "city": "Arleta",
            "state": "CA",
            "postal_code": "913314019",
            "country_code": "US",
            "telephone_number": "818-897-0445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ MEDINA",
        "first_name": "SAUL",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Newhall, CA
• Providers in Newhall, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.