RENEE LOUISE GONZALEZ


Address: 411 4th St Ste C, San Rafael, CA 94901-5716
Phone: 4154735450

RENEE LOUISE GONZALEZ (NPI# 1922174994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922174994
Entity Type Individual
Full Name RENEE LOUISE GONZALEZ
Credential DDS
Practice Address 411 4th St Ste C
San Rafael
CA 94901-5716
Practice Telephone 4154735450
Practice Fax Number 4154735460
Mailing Telephone 4154735450
Mailing Fax Number 4154735460
Enumeration Date 2006-11-28
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223D0001X Dentist
Specialization: Dental Public Health
49890 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA DEA BG7617458 01

Other Providers RENEE GONZALEZ

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1114271277 Renee Channell Gonzalez Specialist/Technologist 4650 W Sweetwater Ave, Glendale, AZ 85304-1505 2012-10-28
1922272640 Renee Nicole Gonzalez Case Manager/Care Coordinator 3606 Exposition Blvd, Los Angeles, CA 90016-4822 2008-04-14

Office Location

Street Address 411 4TH ST STE C
City SAN RAFAEL
State CA
Zip Code 94901-5716

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619285566 Janice Huang Dentist 411 4th St Ste C, San Rafael, CA 94901-5716 2010-09-14
1942377239 Benjamin Ian Laudig Dentist 411 4th St Ste C, San Rafael, CA 94901-5716 2006-11-29

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223D0001X
Grouping Dental Providers
Classification Dentist
Specialization Dental Public Health

Taxonomy Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922179381 Susan J Protzel Dentist 6 Bedford Cv, San Rafael, CA 94901-4417 2006-11-10
1386733269 Tina-lise Curtis Dentist 13 Peter Behr Dr, Marin County Jail - Dental Health, San Rafael, CA 94903-5216 2006-10-11
1942377239 Benjamin Ian Laudig Dentist 411 4th St Ste C, San Rafael, CA 94901-5716 2006-11-29
1649341801 Donald A Frier Dentist 13 Peter Behr Dr, San Rafael, CA 94903-5216 2006-11-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336740216 Thomas Robert Matthew Simpson Dentist 1387 Kirsten Ct, Red Bluff, CA 96080-4905 2020-11-05
1629683339 Jisoo Choe Dentist 232 E 2nd St Apt 451, Los Angeles, CA 90012-4098 2020-09-10
1831703479 Seville Dental Group, Inc. Dentist 7705 Seville Ave Ste A, Huntington Park, CA 90255-6570 2020-09-01
1114537842 Sepideh Rahmani Dentist 945 Orchard Creek Ln Ste 200, Lincoln, CA 95648-8473 2020-08-06
1861018160 Dentists On Wheels Dentist 2210 Gladstone Dr, Pittsburg, CA 94565-5101 2020-06-22
1558997148 S. Safarian Dmd Inc Dentist 955 Boardwalk Ste 304, San Marcos, CA 92078-2659 2020-03-16
1902455884 Aileen Arce Dds Incorporated Dentist 345 F St Ste 140, Chula Vista, CA 91910-2632 2019-09-04
1972156420 Jessica R Yang Dentist 6950 Santa Teresa Blvd Ste D, San Jose, CA 95119-1300 2019-07-23
1447811070 Roop Mayall Dentist 1215 Plumas St Ste 52, Yuba City, CA 95991-3492 2019-06-25
1699242933 Albert Young Dentist Naval Medical Ctr Bob Wilson Dr, San Diego, CA 92134-0001 2018-10-25
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Competitor

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City SAN RAFAEL
Zip Code 94901

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Dataset Information

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.

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