Rolando O Gonzalez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33202 Issued in CA

Practice address

431 E 1St St
Suite 4a
Santa Ana, CA 92701-5303

Phone

(714) 541-6333

Fax

(714) 541-0680

NPI assigned

Feb 13, 2008

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

Other identifiers 1

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

Practice roles

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.

• R.Gonzalez DDS, Inc.

  • General Practice Dentistry
  • Santa Ana, CA
  • NPI 1295883403
  NPD (past) Authorized official

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1851569735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 E 1ST ST",
            "address_2": "SUITE 4A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015303",
            "telephone_number": "714-541-6333",
            "fax_number": "714-541-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E 1ST ST",
            "address_2": "SUITE 4A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015303",
            "telephone_number": "714-541-6333",
            "fax_number": "714-541-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ROLANDO",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B3320201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Octavio Gonzalez
• Omar Gonzalez
• Paulina Gonzalez I
• Rafael Gonzalez
• Raul Gonzalez, ATC
• Rosa Gonzalez
• Sandra Gonzalez, MS, RD
• Sandy Elizabeth Gonzalez
• Sonia Gonzalez
• Sophia Ann Gonzalez, MA

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, 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 Feb 13, 2008; 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.