Sally Cahyadi Gonzaga, - Dentist in Morro Bay, CA

Sally Cahyadi Gonzaga, is a Dentist - General Practice based in Morro Bay, California. Sally Cahyadi Gonzaga is licensed to practice in California (license number 113085) and her current practice location is 747 Bernardo Ave, Morro Bay, California. She can be reached at her office (for appointments etc.) via phone at (805) 772-8585.

NPI number for Sally Cahyadi Gonzaga is 1538094768 and her current mailing address is 1537 Cindee Ln, Colton, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538094768.

Contact Information

Sally Cahyadi Gonzaga,
747 Bernardo Ave,
Morro Bay, CA 93442-2339
(805) 772-8585
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSally Cahyadi Gonzaga
GenderFemale
SpecialityDentist - General Practice
Location747 Bernardo Ave, Morro Bay, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538094768
  • Provider Enumeration Date: 06/17/2026
  • Last Update Date: 06/17/2026

Medical Identifiers

Medical identifiers for Sally Cahyadi Gonzaga such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538094768NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 113085 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sally Cahyadi Gonzaga is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sally Cahyadi Gonzaga,
1537 Cindee Ln,
Colton, CA 92324-4843

Ph: (909) 771-1811
Sally Cahyadi Gonzaga,
747 Bernardo Ave,
Morro Bay, CA 93442-2339

Ph: (805) 772-8585

Reviews and Comments


Dentist in Morro Bay, CA

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Dr. Bruce Trubo, D.D.S.
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Medicare: Not Enrolled in Medicare
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Phone: 805-772-8585    Fax: 805-772-2327
Dr. Kenneth Wayne Stilts, D.D.S.
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Medicare: Not Enrolled in Medicare
Practice Location: 545 Main St, Suite B-2, Morro Bay, CA 93442
Phone: 805-772-2731    Fax: 805-772-2733

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.