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JESICA GONZALEZ DDS
NPI 1700449600
Dentist - Pediatric Dentistry in Bakersfield, CA

Active since April 16, 2019PECOS Enrolled
625 34TH ST STE AND200, BAKERSFIELD, CA 93301(833) 678-2781(661) 368-0618 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 17, 2021, Apr 16, 2019 (2 updates tracked since 2019).

About Jesica Gonzalez Dds NPPES

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

JESICA GONZALEZ DDS (NPI 1700449600) is an individual pediatric dentistry provider in Bakersfield, California, licensed in California (DDS104560) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700449600
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameJESICA GONZALEZCredential: DDS
Location Address625 34TH ST STE AND200Bakersfield, CA 93301-2305
Mailing Address625 34th St Ste And200Bakersfield, CA 93301-2305 · (833) 678-2781 · Fax (661) 368-0618
Phone(833) 678-2781
Fax(661) 368-0618
Sole ProprietorNo
Enumeration DateApril 16, 2019
Last NPPES UpdateMarch 30, 20222 updates tracked since enumeration
NPPES CertifiedMarch 30, 2022
✔ NPI 1700449600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · DDS104560
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
625 34TH ST STE AND200, Bakersfield, CA 93301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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)

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

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 Jesica Gonzalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinica Sierra Vista
Same address
Federally Qualified Health Center (FQHC)
625 34TH STREET, SUITE 100 AND 200
Bakersfield, CA 93301
  • Reassigned Medicare billing, California enrollment
  • 264 clinicians in this Medicare group
NPI 1144897505 (833) 678-2781

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 93301 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
$91.09 typical visit price
range $59.26 – $178.09
Typical copayment $22.77 (range $14.81 – $44.52)
Most-billed visit code 99203
Established Patient
$73.67 typical visit price
range $19.34 – $145.64
Typical copayment $18.41 (range $4.83 – $36.41)
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.

Other Providers at the Same Location NPPES

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

YVETTE DIAZ
Dental Hygienist
625 34TH ST STE AND200
BAKERSFIELD, CA 93301
Kern County (833) 678-2781

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 Jesica Gonzalez's NPI number?

The NPI number for Jesica Gonzalez is 1700449600. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Where is Jesica Gonzalez located?

Jesica Gonzalez practices at 625 34th St Ste And200, Bakersfield, CA 93301. The listed phone number is (833) 678-2781.

What is Jesica Gonzalez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Jesica Gonzalez enrolled in Medicare?

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

Which organization bills Medicare for Jesica Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesica Gonzalez reassigns Medicare benefits to Clinica Sierra Vista (Bakersfield, 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 Jesica Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jesica Gonzalez accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Jesica 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 Jesica Gonzalez was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.