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

Q: 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.

Q: What is Mario Gonzalez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mario Gonzalez was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: November 01, 2026.

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

On this page

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

Open in Google Maps ↗

Other Names 1

Former Name (1)Mario Cesar Gonzalez Villalobos

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Mario Gonzalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Comprehensive Community Health Centers, Inc

4.1 mi

Family Medicine

9043 WOODMAN AVE STE C
Arleta, CA 91331

Reassigned Medicare billing, California enrollment
56 clinicians in this Medicare group

NPI 1346951654 (818) 221-9096

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Mario Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Gonzalez reassigns Medicare benefits to Comprehensive Community Health Centers, Inc (Arleta, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mario Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mario Gonzalez accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 11 other insurers list Mario Gonzalez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mario Gonzalez was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.