Active NPI
Wendy Gattoni
- Peer Specialist
- Clearlake, CA
National Provider Identifier
1003526864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 7000B S Center Dr
Clearlake, CA 95422-8458 - Phone
- (707) 533-5829
- NPI assigned
- Dec 1, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Peer Specialist | 175T00000X | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
7000B S Center Dr
Clearlake, CA 95422-8458
Mailing address
1173 Eleventh St
Lakeport, CA 95453-4113
Phone (925) 477-8730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2024.
{
"created_epoch": "1669852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1003526864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1173 ELEVENTH ST",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954534113",
"telephone_number": "925-477-8730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000B S CENTER DR",
"city": "CLEARLAKE",
"state": "CA",
"postal_code": "954228458",
"telephone_number": "707-533-5829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATTONI",
"first_name": "WENDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-01",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearlake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.