DR. PEDRO LUIS GONZALEZ (NPI# 1033377544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033377544 |
| Entity Type | Individual |
| Full Name | DR. PEDRO LUIS GONZALEZ |
| Credential | DMD |
| Practice Address |
200 S Wells Rd Suite 200 Ventura CA 93004-1377 |
| Practice Telephone | 8056591740 |
| Practice Fax Number | 8056599959 |
| Mailing Telephone | 8056591740 |
| Mailing Fax Number | 8056599959 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2013-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
CA55443 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730470048 | Pedro Gonzalez | Psychologist | Condominio Garden Hills Plaza Torre I, Apt. 501 Ave. Luis Vigoreaux, Guaynabo, PR 00966 | 2011-04-21 |
| 1457486094 | Pedro J. Gonzalez | Dentist | 31 Calle Jose De Diego, Ciales, PR 00638-3229 | 2007-02-23 |
| 1770622052 | Pedro P Gonzalez | Dentist | 11912 Valley Blvd, Suite A, El Monte, CA 91732-3153 | 2007-02-05 |
| 1265514079 | Pedro Piolan Gonzalez | Internal Medicine | 25 President Ave, Lavallette, NJ 08735 | 2006-10-20 |
| 1003428228 | Pedro Mario Gonzalez | Recreation Therapist | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2020-08-19 |
| 1144839812 | Pedro Gonzalez | Behavior Technician | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2020-07-28 |
| 1306493036 | Pedro Anthony Gonzalez Jr. | Pharmacist | 4355 N Sheridan Rd, Chicago, IL 60613-1497 | 2019-08-19 |
| 1801357082 | Pedro M Gonzalez | Technician, Other | 4802 25th Ave, Astoria, NY 11103-1021 | 2019-03-28 |
| 1972094886 | Pedro Gonzalez | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-05-25 |
| 1447610498 | Pedro Gonzalez | Counselor | 11041 Valley Blvd, El Monte, CA 91731-2516 | 2016-03-03 |
| Street Address |
200 S WELLS RD SUITE 200 |
| City | VENTURA |
| State | CA |
| Zip Code | 93004-1377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013938109 | Fouzia Anwar Aftab | Family Medicine | 200 S Wells Rd, Suite 100 Clinicas Del Camino Real Inc, Ventura, CA 93004 | 2006-07-22 |
| 1699277046 | Vivek Singh | Dentist | 200 S Wells Rd, Ventura, CA 93004-1377 | 2018-03-01 |
| 1134672280 | Klara Efner | Dentist | 200 S Wells Rd, Suite 100, Ventura, CA 93004-1377 | 2016-07-25 |
| 1427400688 | Kai Chang | Dentist | 200 S Wells Rd, Suite 100, Ventura, CA 93004-1377 | 2016-07-12 |
| 1124496203 | Laureen Lopez Berry | Nurse Practitioner | 200 S Wells Rd, Ventura, CA 93004-1377 | 2015-09-08 |
| 1891179545 | May Chan | Optometrist | 200 S Wells Rd, Suite 200, Ventura, CA 93004-1377 | 2015-07-13 |
| 1669854741 | Aillie Hu | Dentist | 200 S Wells Rd, Ventura, CA 93004-1377 | 2015-06-24 |
| 1861879025 | Americashealth Plan, Inc. | Health Maintenance Organization | 200 S Wells Rd, Suite 200, Ventura, CA 93004-1377 | 2015-04-27 |
| 1952792335 | Natalie Ferris | Physician Assistant | 200 S Wells Rd, Suite 200, Ventura, CA 93004-1377 | 2015-02-06 |
| 1992195127 | Nisha Dilip Patel | Dentist | 200 S Wells Rd, Suite 200, Ventura, CA 93004-1377 | 2015-01-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154877181 | April Lacanilao | Licensed Vocational Nurse | 8415 Newtown St., Ventura, CA 93004 | 2016-08-30 |
| 1447633003 | Fernando Maldonado IIi | Pharmacist | 9308-b Telephone Rd, Ventura, CA 93004 | 2015-07-01 |
| 1669761532 | Ted Wrablik | Counselor | 9050 Feather Street, Ventura, CA 93004 | 2011-03-31 |
| 1659689446 | Kathleen Anne Highly | Psychologist | Clinicas Del Camino Real, Incorporated, 200 S. Wells Rd., Suite 200, Ventura, CA 93004 | 2010-09-15 |
| 1518283191 | Arturo Alamillo Vargas | Social Worker | 200 S, Wells Rd., Suite 200, Ventura, CA 93004 | 2010-04-08 |
| 1891929949 | Roxanne Gaggs | Occupational Therapist | 2387 Portola Drive, Suite A, Ventura, CA 93004 | 2009-05-05 |
| 1760623599 | Colleen Copelan, M.d. Inc | Psychiatry & Neurology | 970 South Petit Ave., Suite A, Ventura, CA 93004 | 2009-03-06 |
| 1770720401 | Maria G. Hernandez | Social Worker | 200 S. Wells Rd., Suite 250, Clinicas Del Camino Real, Incorporate, Ventura, CA 93004 | 2009-01-16 |
| 1275725376 | Diane M. Sanchez | Music Therapist | 200 S. Wells Rd., Suite 200, Ventura, CA 93004 | 2007-08-13 |
| 1487863643 | Richard Dale Story | Pharmacist | 681 Topeka Ave, Ventura, CA 93004 | 2007-05-22 |
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| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750585774 | Edward D Asdel | Dentist | 3390 Loma Vista Rd Ste B, Ventura, CA 93003-3047 | 2007-06-13 |
| 1487732442 | Timothy Wayne Jue | Dentist | 3277 Telegraph Road, Ventura, CA 93003 | 2006-11-01 |
| 1104907195 | Dennis Glenn Longwill | Dentist | 3277 Telegraph Rd, Ventura, CA 93003 | 2006-10-18 |
| 1770901480 | Brian T Barker, D.d.s., M.s., Inc. | Dentist | 1190 S Victoria Ave, Suite 302, Ventura, CA 93003-6507 | 2014-03-31 |
| 1710142583 | David Scott Berrios | Dentist | 3390 Loma Vista Rd, Suite C, Ventura, CA 93003-3078 | 2008-07-22 |
| 1154598175 | Brian Thomas Barker | Dentist | 1190 S Victoria Ave, Suite 302, Ventura, CA 93003-6507 | 2008-05-08 |
| 1952594228 | Gerald Edward Longhurst | Dentist | 3390 Loma Vista Rd, Suite#c, Ventura, CA 93003-3078 | 2007-08-21 |
| 1396937587 | Erin Duarte | Dentist | 3277 Telegraph Rd, Ventura, CA 93003-3220 | 2007-08-13 |
| 1457413924 | James John Vogel | Dentist | 3277 Telegraph Rd, Ventura, CA 93003 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578655 | Pinole Endodontics | Dentist | 2150 Appian Way Ste 207, Pinole, CA 94564-2520 | 2020-11-05 |
| 1518566702 | Sp Endodontics Partnershiop | Dentist | 1300 W Lodi Ave Ste N, Lodi, CA 95242-3038 | 2020-10-20 |
| 1215535661 | Ascella Justine Ronson | Dentist | 35395 Linda Rosea Rd, Temecula, CA 92592-9532 | 2020-10-16 |
| 1457964215 | Lars Bjorn Jonsson, D.d.s., M.s., Inc. | Dentist | 25261 Paseo De Valencia Ste 3, Laguna Hills, CA 92637-4966 | 2020-08-31 |
| 1952929333 | Noureldin Shoreibah Dds Inc | Dentist | 7677 Center Ave Ste 210, Huntington Beach, CA 92647-9103 | 2020-07-11 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1568091833 | M. Potti Dds Msd Inc | Dentist | 6400 Village Pkwy Ste 100, Dublin, CA 94568-3007 | 2020-04-07 |
| 1194356840 | Liang Dental Group Inc | Dentist | 5562 Philadelphia St Ste 211, Chino, CA 91710-2499 | 2020-01-31 |
| 1699313015 | Paul Erben Dmd Msd PC | Dentist | 937 E Main St Ste 204, Santa Maria, CA 93454-5309 | 2019-12-16 |
| 1396382495 | Narbeh Bandary Dental Corp | Dentist | 4910 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1718 | 2019-12-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.