DR. MICHELLE JO GONZALEZ (NPI# 1447378781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447378781 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE JO GONZALEZ |
| Credential | DDS |
| Practice Address |
1721 5th Ave San Rafael CA 94901-1820 |
| Practice Telephone | 4154563893 |
| Practice Fax Number | 4154564530 |
| Mailing Telephone | 4154563893 |
| Mailing Fax Number | 4154564530 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
37556 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089728 | Michelle Gonzalez | Behavior Technician | 9360 N Name Uno Ste 250, Gilroy, CA 95020-3535 | 2020-09-23 |
| 1730709866 | Michelle Gonzalez | Licensed Practical Nurse | 7906 N 39th St, Augusta, MI 49012-9714 | 2020-04-18 |
| 1215419254 | Michelle Lee Gonzalez | Early Intervention Provider Agency | 106 Seneca St, Staten Island, NY 10310-2334 | 2018-09-06 |
| 1629506076 | Michelle Lynn Gonzalez | Chore Provider | 4009 Yucca Ave, Mcallen, TX 78504-5220 | 2017-05-30 |
| 1457776163 | Michelle Marguerite Gonzalez | Nurse Practitioner | 18 Clearview Dr, South Windsor, CT 06074-2230 | 2014-03-04 |
| 1548522931 | Michelle Renee Gonzalez | Dentist | 1616 Winding Shore Dr, Gulf Breeze, FL 32563-7000 | 2012-06-12 |
| 1992024848 | Michelle Gonzalez | General Practice | Carretera 941 Salida Barrio Jaguas, Neomed Center, Guarabo, PR 00778 | 2010-05-18 |
| 1538496013 | Michelle L Gonzalez | Counselor | 1525 E 17th St, Unit B, Santa Ana, CA 92705-8521 | 2009-11-04 |
| 1174729420 | Michelle Gonzalez | Optometrist | 1 S.w. 129th Ave, Ste 209, Pembroke Pines, FL 33027 | 2007-06-25 |
| 1457479685 | Michelle Yvette Gonzalez | Physical Therapist | 2483 2nd St, Ste D, Eagle Pass, TX 78852-4390 | 2007-03-26 |
| Street Address |
1721 5TH AVE |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477883080 | Sophie Taylor | Dentist | 1721 5th Ave, Suite A, San Rafael, CA 94901-1820 | 2010-01-04 |
| 1700061371 | Stephen Nelson Jaffe | Dentist | 1721 5th Ave, Suite A, San Rafael, CA 94901-1820 | 2008-01-02 |
| 1033316302 | James A Mcdowell | Dentist | 1721 5th Ave, San Rafael, CA 94901-1820 | 2007-06-29 |
| 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 | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366752628 | Jasmine M. Bachtiger | Dentist | 6 Loch Lomond Dr, San Rafael, CA 94901-2503 | 2010-10-20 |
| 1902022940 | Robert Eugene Griffin | Dentist | 912 Grand Avenue, San Rafael, CA 94901-3552 | 2007-04-18 |
| 1386692093 | Maureen A. Valley | Dentist | 126 Lucas Park Dr, San Rafael, CA 94903-1717 | 2006-05-05 |
| 1407281041 | Ehsan Karimian | Dentist | 908 E St Ste C, San Rafael, CA 94901-2851 | 2013-09-13 |
| 1528234747 | Roger P. Boero | Dentist | 908 E St, San Rafael, CA 94901-2851 | 2008-05-07 |
| 1245448653 | Lorin Abrams Kaplan | Dentist | 920 Northgate Dr, Suite #8, San Rafael, CA 94903-3429 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
| 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.