Alice Gemba DDS

Primary specialty

DentistTaxonomy code 122300000X

License

33928 Issued in CA

Legal business name

ALICE GEMBA DDS

Practice address

9535 Garden Grove Blvd
201
Garden Grove, CA 92844-1550

Phone

(714) 855-1138

NPI assigned

Jun 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ruben V Gonzalez, DDS

Title

President

Phone

(323) 278-0170

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1922456987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9535 GARDEN GROVE BLVD",
            "address_2": "201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441550",
            "telephone_number": "714-855-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9535 GARDEN GROVE BLVD",
            "address_2": "201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441550",
            "telephone_number": "714-855-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE GEMBA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-278-0170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "33928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Alfaro
• Stephanie Alfaro
• Nathan Patrick Alfred
• Ali Fouladi, M.D., Inc.
• Mumtaz A Ali, M.D
• Allen R Baker DDS Inc
• Allen Rodriguez, MD Inc.
• Darlene Allen, SLP
• Jason Andrew Allison
• Luis Almeida

• Dentist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.