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SALLY CAHYADI GONZAGA
NPI 1538094768
Dentist - General Practice in Morro Bay, CA

Active since June 17, 2026
747 BERNARDO AVE, MORRO BAY, CA 93442(805) 772-8585 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sally Cahyadi Gonzaga NPPES

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

SALLY CAHYADI GONZAGA (NPI 1538094768) is an individual general practice provider in Morro Bay, California, licensed in California (113085) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1538094768
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSALLY CAHYADI GONZAGA
Location Address747 BERNARDO AVEMorro Bay, CA 93442-2339
Mailing Address1537 Cindee LnColton, CA 92324-4843 · (909) 771-1811
Phone(805) 772-8585
Sole ProprietorYes
Enumeration DateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1538094768 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 · 113085
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.
747 BERNARDO AVE, Morro Bay, CA 93442
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Other Providers at the Same Location NPPES 2

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

DR. BRUCE TRUBO D.D.S.
Dentist (General Practice)
747 BERNARDO AVE
MORRO BAY, CA 93442
San Luis Obispo County (805) 772-8585
RATCHFORD DENTAL PRACTICE, INC
Dentist (General Practice)
747 BERNARDO AVE
MORRO BAY, CA 93442
San Luis Obispo County (805) 772-8585

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 Sally Gonzaga's NPI number?

The NPI number for Sally Gonzaga is 1538094768. It was assigned to this individual provider in the NPPES registry on June 17, 2026.

Where is Sally Gonzaga located?

Sally Gonzaga practices at 747 Bernardo Ave, Morro Bay, CA 93442. The listed phone number is (805) 772-8585.

What is Sally Gonzaga's specialty?

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

When was this NPI record last updated?

The NPPES record for Sally Gonzaga was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.