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DR. MARIO CESAR GONZALEZ DDS
NPI 1083013320
Dentist - General Practice in San Fernando, CA

Active since August 21, 2014PECOS Enrolled
760 HARDING AVE, SAN FERNANDO, CA 91340(818) 919-9092 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 10, 2025, Dec 6, 2025 (2 updates tracked since 2025).

About Dr. Mario Cesar Gonzalez Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIO CESAR GONZALEZ DDS (NPI 1083013320) is an individual general practice provider in San Fernando, California, licensed in California (112564) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1083013320
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARIO CESAR GONZALEZCredential: DDS
Location Address760 HARDING AVESan Fernando, CA 91340-2019
Mailing Address760 Harding AveSan Fernando, CA 91340-2019 · (818) 919-9092
Phone(818) 919-9092
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 21, 2014
Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1083013320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 112564
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
760 HARDING AVE, San Fernando, CA 91340
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Other Names 1

Former Name (1)Mario Cesar Gonzalez Villalobos

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mario Cesar Gonzalez Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012484884
PECOS Enrollment IDI20260429002419
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91340 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario Gonzalez's NPI number?

The NPI number for Mario Gonzalez is 1083013320. It was assigned to this individual provider in the NPPES registry on August 21, 2014. The provider is also known as Mario Cesar Gonzalez Villalobos.

Where is Mario Gonzalez located?

Mario Gonzalez practices at 760 Harding Ave, San Fernando, CA 91340. The listed phone number is (818) 919-9092.

What is Mario Gonzalez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mario Gonzalez enrolled in Medicare?

Yes. Mario Gonzalez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mario Gonzalez was last updated on December 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.