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GILBERT N/A PENA RDA
NPI 1467090514
Dental Assistant in Rialto, CA

Active since December 18, 2019
1205 RENAISSANCE PKWY STE 240, RIALTO, CA 92376(909) 253-0490 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gilbert N/a Pena Rda NPPES

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

GILBERT N/A PENA RDA (NPI 1467090514) is an individual dental assistant in Rialto, California, licensed in California (RDA93312) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1467090514
Entity TypeIndividualMale
Primary Taxonomy126800000X
Provider Legal NameGILBERT N/A PENACredential: RDA
Location Address1205 RENAISSANCE PKWY STE 240Rialto, CA 92376-2418
Mailing Address1205 Renaissance Pkwy Ste 240Rialto, CA 92376-2418
Phone(909) 253-0490
Sole ProprietorNo
Enumeration DateDecember 18, 2019
Last NPPES UpdateDecember 20, 2019
✔ NPI 1467090514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
License✔ Licensed in CA · RDA93312
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
1205 RENAISSANCE PKWY STE 240, Rialto, CA 92376
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Other Names 1

Former Name (1)N/a N/a N/a

Other Identifiers 1

MedicaidRDA93312CA

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERICA WU DDS MS
Dentist
1205 RENAISSANCE PKWY STE 240
RIALTO, CA 92376
San Bernardino County (714) 616-4800
LISA ALLEN MASSEY RDA
Dental Assistant
1205 RENAISSANCE PKWY STE 240
RIALTO, CA 92376
San Bernardino County (714) 942-4161
ATRIYA SALAMATI DDS
Dentist (Pediatric Dentistry)
1205 RENAISSANCE PKWY STE 240
RIALTO, CA 92376
San Bernardino County (425) 308-5342
DR. LILIANA POPOVA DDS
Dentist (Pediatric Dentistry)
1205 RENAISSANCE PKWY STE 240
RIALTO, CA 92376
San Bernardino County (909) 746-5000
JERRY HYUN SHIM D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
1205 RENAISSANCE PKWY STE 240
RIALTO, CA 92376
San Bernardino County (909) 746-5000
MR. ANDREW CARRILLO RDA
Dental Assistant
1205 RENAISSANCE PKWY STE 240
RIALTO, CA 92376
San Bernardino County (909) 243-7939
MISS MAELEDAH RUBALCAVA RDA
Dental Assistant
1205 RENAISSANCE PKWY STE 240
RIALTO, CA 92376
San Bernardino County (909) 746-5000

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 Gilbert Pena's NPI number?

The NPI number for Gilbert Pena is 1467090514. It was assigned to this individual provider in the NPPES registry on December 18, 2019. The provider is also known as N/A N/A N/A.

Where is Gilbert Pena located?

Gilbert Pena practices at 1205 Renaissance Pkwy Ste 240, Rialto, CA 92376. The listed phone number is (909) 253-0490.

What is Gilbert Pena's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Gilbert Pena was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.