Kelly Zeta Gonzalez, DDS
NPI 1366016289 · Dentist · Victorville, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Zeta Gonzalez, DDS is a Dentist provider in Victorville, CA (NPI 1366016289).
Provider details
- NPI number
- 1366016289
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 107597 (CA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-15
- Last updated
- 2024-03-23
- Certified
- 2024-03-23
Frequently asked questions
- What is Kelly Zeta Gonzalez's NPI number?
- Kelly Zeta Gonzalez's National Provider Identifier (NPI) is 1366016289, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Zeta Gonzalez's specialty?
- Kelly Zeta Gonzalez is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Kelly Zeta Gonzalez located?
- Kelly Zeta Gonzalez's practice location on file with NPPES is 12120 Ridgecrest Rd Ste 203, Victorville, CA 92395-5906.
- What is Kelly Zeta Gonzalez's phone number?
- The practice phone number listed in the NPPES registry for Kelly Zeta Gonzalez is (760) 242-2338.
- Does Kelly Zeta Gonzalez accept Medicare?
- Kelly Zeta Gonzalez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Zeta Gonzalez's NPI active?
- Yes — Kelly Zeta Gonzalez's NPI (1366016289) is active in the NPPES registry as of the last update on 2024-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.