Vincent Anthony Goymerac, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

33931 Issued in CA

Practice address

8215 Rochester Ave
Suite 102
Rancho Cucamonga, CA 91730-0726

Phone

(909) 944-2800

NPI assigned

Feb 22, 2007

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

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.

• Rancho Dentistry

  • General Practice Dentistry
  • Rancho Cucamonga, CA
  • NPI 1235023540
  NPD Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1811022734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 ROCHESTER AVE",
            "address_2": "SUITE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300726",
            "telephone_number": "909-944-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 ROCHESTER AVE",
            "address_2": "SUITE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300726",
            "telephone_number": "909-944-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYMERAC",
        "first_name": "VINCENT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "33931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Gordon
• Rachel K. Gossett, LMFT
• Victoria Gossum
• Lauren Gothier
• Angela Goveia
• James A Grace, PHD
• Lizzette Graciano
• Keylaunie Graham Donato
• Marissa Granado
• Daisy Granda-Gadea

• Dentist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.