Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mario Cesar Gonzalez, DDS

Individual provider General Practice Dentistry · NPI 1083013320

Dr. Mario Cesar Gonzalez, DDS is a Dentist in San Fernando, California. Qualified in 2025, 1 year ago. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2014
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

760 Harding Ave
San Fernando, CA 91340-2019
Phone: (818) 919-9092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 112564 (CA)

Record details

NPI number1083013320
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 21, 2014
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing address760 Harding Ave, San Fernando, CA 91340-2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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