Individual provider Active NPI

Leticia Mariana Gonzalez, F.N.P.

  • Family Nurse Practitioner
  • El Cerrito, CA
National Provider Identifier
1003209933
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95002251 Issued in CA
Practice address
Planned Parenthood El Cerrito Health Center
320 El Cerrito Plaza
El Cerrito, CA 94530
Phone
(510) 527-5806
NPI assigned
Mar 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95002251 CA Primary

Addresses

Primary practice location

Planned Parenthood El Cerrito Health Center
320 El Cerrito Plaza
El Cerrito, CA 94530

Mailing address

2344 6TH St
Berkeley, CA 94710-2412
Phone (510) 981-4100

Other practice location 1

16 Ritter St
San Rafael, CA 94901-3323
Phone (415) 457-8182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181208000495 CA Practitioner - Nurse Practitioner 9032422761 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95002251CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthright 360 CurrentSince Aug 19, 2018 Accepting new patients
Healthright 360 Current Accepting new patients
Planned Parenthood Shasta Diablo, Inc CurrentSince Aug 10, 2024 Accepting new patients
Planned Parenthood Shasta Diablo Inc CurrentSince Aug 10, 2024 Accepting new patients
Planned Parenthood Shasta Diablo Inc Current Accepting new patients
Planned Parenthood Shasta Diablo Inc Past Accepting new patients
Planned Parenthood Shasta Diablo Inc PastSince Aug 10, 2024 Accepting new patients

Locations

3100 Cohasset Rd
Chico, CA 95973
Phone (530) 342-2949

2185 Pacheco St
Concord, CA 94520
Phone (925) 676-0300

280 El Cerrito Plz
Ste J15A
El Cerrito, CA 94530
Phone (510) 527-5806

558 Clayton St
San Francisco, CA 94117
Phone (415) 746-1950

330 Ellis St
San Francisco, CA 94102
Phone (415) 654-6000

1357 Oakland Ct
Walnut Creek, CA 94596
Phone (925) 935-3010

Interoperability endpoints

  • Direct secure messaging: leticia.gonzaleznp.p1@direct.ppnorcal.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1003209933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 6TH ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947102412",
            "telephone_number": "510-981-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLANNED PARENTHOOD EL CERRITO HEALTH CENTER",
            "address_2": "320 EL CERRITO PLAZA",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "94530",
            "telephone_number": "510-527-5806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Ritter St",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949013323",
            "country_code": "US",
            "telephone_number": "415-457-8182",
            "fax_number": "415-457-3490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LETICIA",
        "middle_name": "MARIANA",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cerrito, CA

Sources for this page

Verify at the official NPI Registry.