MRS. KIMBERLY GONZALEZ (NPI# 1992354047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992354047 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY GONZALEZ |
| Credential | BS, RDH |
| Practice Address |
201 S Harbor Blvd La Habra CA 90631-5654 |
| Mailing Address |
1241 N Monterey St Anaheim CA 92801-1551 |
| Practice Telephone | 7606315000 |
| Practice Fax Number | 7604143702 |
| Mailing Telephone | 7148820787 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 32563 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405533 | Kimberly Dennise Gonzalez | Nurse Practitioner | 433 County Road 133, Alice, TX 78332-9365 | 2020-10-24 |
| 1326673542 | Kimberly Gonzalez | Physician Assistant | 30281 Golden Lantern, Laguna Niguel, CA 92677-5979 | 2020-03-09 |
| 1841838927 | Kimberly Gonzalez | Social Worker | 2090 Adam Clayton Powell Jr Blvd, New York, NY 10027-4990 | 2019-12-19 |
| 1568016236 | Kimberly I Gonzalez | Behavior Technician | 271 E Workman St Ste 101, Covina, CA 91723-3547 | 2019-07-30 |
| 1982261079 | Kimberly Gonzalez | Behavior Technician | 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 | 2019-05-23 |
| 1902364151 | Kimberly Gonzalez | Nurse Practitioner | 565 Kern St, Shafter, CA 93263-2133 | 2019-03-06 |
| 1881177202 | Kimberly Gonzalez | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2018-09-11 |
| 1801378922 | Kimberly Yvonne Gonzalez | Case Manager/Care Coordinator | 6800 Florence Ave, Bell Gardens, CA 90201-4957 | 2018-09-05 |
| 1427546803 | Kimberly Gonzalez | Behavior Technician | 1663 Mission St Ste 400, San Francisco, CA 94103-2485 | 2018-05-01 |
| 1598117202 | Kimberly Gonzalez | Developmental Therapist | 550 N Reo St Ste 202, Tampa, FL 33609-1062 | 2016-07-06 |
| Street Address |
201 S HARBOR BLVD |
| City | LA HABRA |
| State | CA |
| Zip Code | 90631-5654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821283946 | Ayisha Lesha Winn | Social Worker | 201 S Harbor Blvd, La Habra, CA 90631 | 2007-09-11 |
| 1265942510 | Alberto Eduardo Veksler | Dental Hygienist | 201 S Harbor Blvd, La Habra, CA 90631-5654 | 2017-10-01 |
| 1497203541 | Vista Community Clinic | Clinic/Center | 201 S Harbor Blvd, La Habra, CA 90631-5654 | 2016-09-19 |
| 1568918647 | Brenda Godinez | Counselor | 201 S Harbor Blvd, La Habra, CA 90631-5654 | 2016-08-29 |
| 1548631443 | Jonathan Coutin | Dentist | 201 S Harbor Blvd, La Habra, CA 90631-5654 | 2015-10-18 |
| 1114303344 | Nicole Medina Dayrit | Dentist | 201 S Harbor Blvd, La Habra, CA 90631 | 2015-08-11 |
| 1093100232 | Duy Duc Nguyen | Family Medicine | 201 S Harbor Blvd, La Habra, CA 90631-5654 | 2015-04-04 |
| 1457780686 | Ellen Ruth Kotkin | Social Worker | 201 S Harbor Blvd, La Habra, CA 90631-5654 | 2013-11-07 |
| 1356777361 | Adriana Jennifer Guerrero | Social Worker | 201 S Harbor Blvd, La Habra, CA 90631-5654 | 2013-09-23 |
| 1972814507 | Vanessa Rivas | Social Worker | 201 S Harbor Blvd, La Habra, CA 90631-5654 | 2010-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174163323 | Knowledge of Autism & Other Developmental Disabilities, LLC. | Assistant Behavior Analyst | 890 Whitebook Drive, La Habra, CA 90631 | 2020-01-15 |
| 1215572417 | Anthony Alonzo Favot | Physician Assistant | 2500 Sidon Ave., La Habra, CA 90631 | 2019-11-12 |
| 1487123618 | Adrian Acosta Dds A Prof Dental Corp | Dentist | 901 W. Whittier Blvd, La Habra, CA 90631 | 2018-11-16 |
| 1669961587 | La Habra Villa, LLC | Assisted Living Facility | 1100 E.whittier Blvd, La Habra, CA 90631 | 2018-05-07 |
| 1679089767 | Alicia Igarta | Behavioral Analyst | 890 Whitebook Dr, La Habra, CA 90631 | 2017-12-27 |
| 1609386564 | Antoinette Marie Burgonio | Counselor | 820 Buena Vista Ave, La Habra, CA 90631 | 2017-10-05 |
| 1023527710 | Sharon Rose Stines | Counselor | 271 W. Imperial Hwy, Suite C, La Habra, CA 90631 | 2017-09-25 |
| 1275050999 | Ivan Andro Simunovic | Physician Assistant | 1341 Brookdale Ave., La Habra, CA 90631 | 2017-08-23 |
| 1730609645 | Lorraine Danielle Granado | Specialist/Technologist | 2301 Las Palomas Dr, La Habra Heights, CA 90631 | 2017-06-21 |
| 1649717844 | Marzieh Simonton | Nurse Practitioner | 921 Donnybrook Ave, La Habra, CA 90631 | 2017-01-25 |
| Find all providers in zip 90631 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265942510 | Alberto Eduardo Veksler | Dental Hygienist | 201 S Harbor Blvd, La Habra, CA 90631-5654 | 2017-10-01 |
| 1710032792 | Dolores Ramos | Dental Hygienist | 501 S Idaho St, Suite 190, La Habra, CA 90631-6047 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841046 | Betty Satomi Fukumoto | Dental Hygienist | 16008 S Manhattan Pl, Gardena, CA 90247-3681 | 2020-11-08 |
| 1417558180 | Maria Antonette De Lara Kim | Dental Hygienist | 66 S San Gorgonio Ave Ste 5, Banning, CA 92220-6020 | 2020-11-07 |
| 1083215982 | Sokbunntha Yan | Dental Hygienist | 5810 Fidler Ave, Lakewood, CA 90712-1251 | 2020-11-06 |
| 1649871914 | Maryam Ghahramani Shahneshin | Dental Hygienist | 1961 Grove Pl, Escondido, CA 92027-4101 | 2020-11-04 |
| 1285234047 | Maryann Detar | Dental Hygienist | 3154 Alum Rock Ave, San Jose, CA 95127-2903 | 2020-10-29 |
| 1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
| 1336748896 | Cynthia Garcia Macdougall | Dental Hygienist | 444 Hermosa Ave Apt 302, Hermosa Beach, CA 90254-4433 | 2020-10-25 |
| 1346849163 | Ambrosia Evon Steljes | Dental Hygienist | Building 13128 14th Street, Camp Pendleton, CA 92055-5221 | 2020-10-22 |
| 1427657261 | Julie Lynn March | Dental Hygienist | 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 | 2020-10-22 |
| 1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
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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.