ISRAEL GONZALEZ (NPI# 1467776534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467776534 |
| Entity Type | Individual |
| Full Name | ISRAEL GONZALEZ |
| Credential | RDAEF |
| Practice Address |
411 4th St San Rafael CA 94901-5716 |
| Practice Telephone | 4154735450 |
| Practice Fax Number | 4154735460 |
| Mailing Telephone | 4154735450 |
| Mailing Fax Number | 4154735460 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 1484 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891929881 | Israel Gonzalez | Behavioral Analyst | 471 Ives Dairy Rd # C105, Miami, FL 33179-5405 | 2009-05-06 |
| 1275824989 | Israel Gonzalez Jr. | Emergency Medicine | 270 Park Ave, Huntington Hospital, Huntington, NY 11743 | 2011-04-28 |
| Street Address |
411 4TH ST |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-5716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396165981 | Martha De La Pena | Dentist | 411 4th St, San Rafael, CA 94901-5716 | 2014-04-22 |
| 1669898318 | Aarin Crawford | Dental Hygienist | 411 4th St, San Rafael, CA 94901-5716 | 2014-03-05 |
| 1013272079 | Ann P. Adams | Dental Hygienist | 411 4th St, San Rafael, CA 94901-5716 | 2012-07-05 |
| 1144514498 | Tina Goldiano | Dental Hygienist | 411 4th St, San Rafael, CA 94901-5716 | 2011-06-03 |
| 1770807208 | Maria Maldonado | Dental Assistant | 411 4th St, San Rafael, CA 94901-5716 | 2010-03-26 |
| 1124342654 | Sally Landis | Dental Assistant | 411 4th St, San Rafael, CA 94901-5716 | 2010-03-26 |
| 1245554831 | Tracy Yick Wong | Dental Hygienist | 411 4th St, San Rafael, CA 94901-5716 | 2010-03-25 |
| 1992029722 | Michael P. Aaronson | Dentist | 411 4th St, San Rafael, CA 94901-5716 | 2010-03-23 |
| 1932423001 | Denny Phan | Dental Assistant | 411 4th St, San Rafael, CA 94901-5716 | 2010-03-18 |
| 1932423027 | Maria Hernandez | Dental Assistant | 411 4th St, San Rafael, CA 94901-5716 | 2010-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770807208 | Maria Maldonado | Dental Assistant | 411 4th St, San Rafael, CA 94901-5716 | 2010-03-26 |
| 1124342654 | Sally Landis | Dental Assistant | 411 4th St, San Rafael, CA 94901-5716 | 2010-03-26 |
| 1932423001 | Denny Phan | Dental Assistant | 411 4th St, San Rafael, CA 94901-5716 | 2010-03-18 |
| 1932423027 | Maria Hernandez | Dental Assistant | 411 4th St, San Rafael, CA 94901-5716 | 2010-03-18 |
| 1457675530 | Carlos Cam | Dental Assistant | 411 4th St, San Rafael, CA 94901-5716 | 2010-03-18 |
| 1437473527 | Wirote Praiphetsak | Dental Assistant | 411 4th St, San Rafael, CA 94901-5716 | 2010-03-18 |
| 1770807869 | Nancy Quintanilla | Dental Assistant | 411 4th St, San Rafael, CA 94901-5716 | 2010-03-18 |
| 1720302813 | Jeremy G. Santos | Dental Assistant | 411 4th St, San Rafael, CA 94901-5716 | 2010-03-18 |
| 1235453325 | Vicki Llaverias | Dental Assistant | 411 4th St, San Rafael, CA 94901-5716 | 2010-03-18 |
| 1023332012 | Sharon Shirado | Dental Assistant | 411 4th St, San Rafael, CA 94901-5716 | 2010-03-18 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
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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.