SANDRA J GONG DDS DENTAL CORP. (NPI# 1285775502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285775502 |
| Entity Type | Organization |
| Organization Name | SANDRA J GONG DDS DENTAL CORP. |
| Practice Address |
101 Comanche Dr Arvin CA 93203-0172 |
| Mailing Address |
Po Box 172 Arvin CA 93203-0172 |
| Practice Telephone | 6618545558 |
| Practice Fax Number | 6618542696 |
| Mailing Telephone | 6618545558 |
| Mailing Fax Number | 6618542696 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2014-10-03 |
| Authorized Official Name | DR. SANDRA J GONG (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6618545558 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
29891 | CA | Dental Providers |
| Street Address |
101 COMANCHE DR |
| City | ARVIN |
| State | CA |
| Zip Code | 93203-0172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104966241 | Sandra Jean Gong | Dentist | 101 Comanche Dr, Arvin, CA 93203-0172 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588194252 | Melvin Peralta | Pharmacist | 505 B Bear Mountain Blvd, Arvin, CA 93203 | 2017-06-15 |
| 1497293070 | Windsor Arvin Healthcare, LLC | Skilled Nursing Facility | 323 Campus Drive, Arvin, CA 93203 | 2017-02-03 |
| 1881961811 | Angelica Maria Rivas | Social Worker | 1305 Bear Mountain Blvd, Arvin, CA 93203 | 2011-11-18 |
| 1972895514 | Arthur G. Kaiser Dds | Dentist | 734 Bear Mountain Blvd, Arvin, CA 93203 | 2011-05-13 |
| 1457501710 | Jo Ann Natividad Saba | Pediatrics | 1305 Bear Mountain Blvd, Arvin, CA 93203 | 2008-09-23 |
| 1851599328 | Marsha Baker | Obstetrics & Gynecology | 1305 Bear Mountain Blvd, Arvin, CA 93203 | 2007-07-06 |
| 1013128552 | Soheila Torabi | Family Medicine | 146 N Hill St, Arvin, CA 93203-1014 | 2007-05-25 |
| 1861506743 | Ronnie-vic Pasiliao | Family Medicine | 146 North Hill, Arvin, CA 93203-1014 | 2006-08-18 |
| 1629554571 | Dane Lee Nestor | Registered Nurse | 146 N Hill St, Arvin, CA 93203-1014 | 2018-07-13 |
| 1427577162 | Rajwinder Bajwa | Family Medicine | 146 N Hill St, Arvin, CA 93203-1014 | 2017-09-13 |
| Find all providers in zip 93203 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285052100 | Sukhwinder S. Gill Dds, Inc. | Dentist | 505 Bear Mountain Blvd. Suite A, Arvin, CA 93203-1454 | 2014-03-29 |
| 1104966241 | Sandra Jean Gong | Dentist | 101 Comanche Dr, Arvin, CA 93203-0172 | 2007-02-07 |
| 1770968463 | Amir Balouch | Dentist | 1305 Bear Mountain Blvd, Arvin, CA 93203-1231 | 2015-07-23 |
| 1306050331 | Dedicated Dental Systems Inc | Dentist | 734 Bear Mountain Blvd, Blvd, Arvin, CA 93203-1414 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932141 | Jason T Garland | Dentist | 7892 Sitio Mirto, Carlsbad, CA 92009-6999 | 2020-11-05 |
| 1386245462 | Miller Skinner and Dastrup Dental Corporation of Madera | Dentist | 118 N A St, Madera, CA 93638-3210 | 2020-11-04 |
| 1912508177 | Adrian Acosta Dds A Professional Dental Corp | Dentist | 951 W. Whittier Blvd, La Habra, CA 90631-3743 | 2020-11-04 |
| 1871194175 | Lawrence G. Low Dds & Kenneth Y.k. Li Dds | Dentist | 229 Cajon St Ste 3, Redlands, CA 92373-5284 | 2020-11-03 |
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1083214282 | Sara Davidson, Dds, PC | Dentist | 176 Terra Vista Ave, San Francisco, CA 94115-3824 | 2020-10-27 |
| 1871192484 | David Moody Dental Corporation | Dentist | 19737 W Valley Blvd, Tehachapi, CA 93561-8601 | 2020-10-23 |
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1104425248 | Aditi Mehndiratta | Dentist | 17585 Vierra Canyon Rd, Prunedale, CA 93907-3312 | 2020-10-20 |
| 1346849452 | Lauren Gabrielle Alfonso Santos | Dentist | 4005 Manzanita Ave Ste 50, Carmichael, CA 95608-1784 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SANDRA J GONG DDS DENTAL CORP..
| 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.