LUISA FERNANDA GONGORA DDS
NPI 1679383384
Dentist in Needles, CA

Active since January 14, 2025
820 W BROADWAY ST, NEEDLES, CA 92363(844) 444-1424 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Luisa Fernanda Gongora Dds NPPES

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

LUISA FERNANDA GONGORA DDS (NPI 1679383384) is an individual dentist in Needles, California, licensed in California (111127) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1679383384
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameLUISA FERNANDA GONGORACredential: DDS
Location Address820 W BROADWAY STNeedles, CA 92363-2729
Mailing Address6517 Old Oxford AveLas Vegas, NV 89108-0201 · (617) 461-2485
Sole ProprietorYes
Enumeration DateJanuary 14, 2025
NPPES CertifiedJanuary 13, 2025
NPI 1679383384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 111127
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

820 W BROADWAY ST, Needles, CA 92363

Other Providers at the Same Location NPPES

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

Clinic/Center (Federally Qualified Health Center (FQHC))
820 W BROADWAY ST
NEEDLES, CA 92363

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 Luisa Gongora's NPI number?

The NPI number for Luisa Gongora is 1679383384. It was assigned to this individual provider in the NPPES registry on January 14, 2025.

Where is Luisa Gongora located?

Luisa Gongora practices at 820 W Broadway St, Needles, CA 92363. The listed phone number is (844) 444-1424.

What is Luisa Gongora's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Luisa Gongora was last updated on January 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.