Katrina Go Angeles, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56664 Issued in CA

Practice address

6042 N Fresno St Ste 102
Fresno, CA 93710-5279

Phone

(559) 457-8403

NPI assigned

Dec 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Katrina Guilatco Go Former name

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

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1801070131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8694 N HEARTLAND WAY",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205334",
            "telephone_number": "559-367-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6042 N FRESNO ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105279",
            "telephone_number": "559-457-8403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8694 N Heartland Way",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937205334",
            "country_code": "US",
            "telephone_number": "559-457-8403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGELES",
        "first_name": "KATRINA",
        "middle_name": "GO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "GO",
            "middle_name": "GUILATCO",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dominic Matthew Angel
• Louis Ralph Angel, CADC-II
• Raul Espinosa Angel
• Angel'S Best Hospice Care, Inc
• John Paul Magat Angeles, MD
• Angelicare in Home Companion Care Inc.
• Dawn Kathleen Angelich, LMFT
• Angeline Home Care
• Angeline Home Care Services, Inc.
• Eleonora M Angelini, MSN-FNP-BC; PA-C

• General Practice Dentistry in Fresno, CA
• Providers in Fresno, 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 26, 2021; 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.