Mauricio Gonzalez Balut, DDS, MS
NPI 1770346843 · Orthodontics and Dentofacial Orthopedics Dentistry · San Bernardino, CA
Mauricio Gonzalez Balut, DDS, MS is a Orthodontics and Dentofacial Orthopedics Dentistry provider in San Bernardino, CA (NPI 1770346843).
Provider details
- NPI number
- 1770346843
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- SP313 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 11092 Anderson StLoma Linda, CA 92350-1706Phone: (909) 558-4603Fax: (909) 558-4822
Registry dates
- Enumerated
- 2024-02-01
- Last updated
- 2024-02-01
- Certified
- 2024-02-01
Frequently asked questions
- What is Mauricio Gonzalez Balut's NPI number?
- Mauricio Gonzalez Balut's National Provider Identifier (NPI) is 1770346843, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mauricio Gonzalez Balut's specialty?
- Mauricio Gonzalez Balut is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Mauricio Gonzalez Balut located?
- Mauricio Gonzalez Balut's practice location on file with NPPES is 159 W Hospitality Ln Ste 100, San Bernardino, CA 92408-3348.
- What is Mauricio Gonzalez Balut's phone number?
- The practice phone number listed in the NPPES registry for Mauricio Gonzalez Balut is (909) 558-4960.
- Is Mauricio Gonzalez Balut's NPI active?
- Yes — Mauricio Gonzalez Balut's NPI (1770346843) is active in the NPPES registry as of the last update on 2024-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.