Individual provider Active NPI

Christine Ann Gonzales, MA

  • Psychologist
  • El Monte, CA
National Provider Identifier
1013396142
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSB94024648 Issued in CA
Practice address
11920 Ramona Blvd BLDG 1
El Monte, CA 91732-2314
Phone
(626) 448-5501
Fax
(626) 448-5502
NPI assigned
May 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSB94024648 CA Primary

Addresses

Primary practice location

11920 Ramona Blvd BLDG 1
El Monte, CA 91732-2314

Mailing address

11920 Ramona Blvd BLDG 1
El Monte, CA 91732-2314
Phone (626) 448-5501

Other names 1

  • Mrs. Christine Ann Cheetham Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PSB94024648CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1013396142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11920 RAMONA BLVD BLDG 1",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917322314",
            "telephone_number": "626-448-5501",
            "fax_number": "626-448-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11920 RAMONA BLVD BLDG 1",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917322314",
            "telephone_number": "626-448-5501",
            "fax_number": "626-448-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSB94024648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "CHEETHAM",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "MFT TRAINEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.