Healthcare Provider Details

I. General information

NPI: 1588586614
Provider Name (Legal Business Name): FRANCISCO NAHUM RAMIEZ GONZALEZ DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16120 S HIGHLAND AVE STE 3A
FONTANA CA
92336-1232
US

IV. Provider business mailing address

10757 LEMON AVE APT 1433
RANCHO CUCAMONGA CA
91737-6949
US

V. Phone/Fax

Practice location:
  • Phone: 909-232-8179
  • Fax:
Mailing address:
  • Phone: 909-319-9903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number112968
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: