Active NPI
Kimberly Gonzalez, BS, RDH
- Dental Hygienist
- La Habra, CA
National Provider Identifier
1992354047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 32563
- Practice address
- 201 S Harbor Blvd
La Habra, CA 90631-5654 - Phone
- (760) 631-5000
- Fax
- (760) 414-3702
- NPI assigned
- Sep 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 32563 | CA | Primary |
Addresses
Primary practice location
201 S Harbor Blvd
La Habra, CA 90631-5654
Mailing address
1241 N Monterey St
Anaheim, CA 92801-1551
Phone (714) 882-0787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32563 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1992354047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 N MONTEREY ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011551",
"telephone_number": "714-882-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S HARBOR BLVD",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906315654",
"telephone_number": "760-631-5000",
"fax_number": "760-414-3702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "KIMBERLY",
"name_prefix": "Mrs.",
"credential": "BS, RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "32563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.