Alejandro Gonzalez del Castillo Duran

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

109756 Issued in CA

Practice address

2455 Jefferson Blvd Ste 95691130
West Sacramento, CA 95691-5313

Phone

(916) 372-8062

NPI assigned

Dec 21, 2023

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1831968619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 ORCHARD LN APT 14212",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958333966",
            "telephone_number": "279-236-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 JEFFERSON BLVD STE 95691130",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915313",
            "telephone_number": "916-372-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ DEL CASTILLO DURAN",
        "first_name": "ALEJANDRO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara L Gilbert, RBT
• Kristina Glynn
• Wesley Goff, CATC II
• Erica Ildefonso Gomez, LCSW
• Xochilt Rebecca Gonzales, CADAC II
• Crispin Gonzalez
• Nicole Goodman
• Amanda L Gootee
• Ronell Lawrence Gordon II
• Shaira A Gordon

• General Practice Dentistry in West Sacramento, CA
• Providers in West Sacramento, 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 Dec 21, 2023; 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.