Jeanette Razo-Gonzalez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW75752 Issued in CA

Practice address

17870 Newhope St Ste 104-327
Fountain Valley, CA 92708-5439

Phone

(626) 268-3226

NPI assigned

Nov 30, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1053613885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17870 NEWHOPE ST STE 104-327",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085439",
            "telephone_number": "626-268-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17870 NEWHOPE ST STE 104-327",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085439",
            "telephone_number": "626-268-3226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "878 W Town and Country Rd",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684712",
            "country_code": "US",
            "telephone_number": "562-631-6244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAZO-GONZALEZ",
        "first_name": "JEANETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW75752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anas Raowas, M.D.
• Russell Paul Rapoza, M.D.
• Sean C. Rathan, MFT
• Staci L Raygoza, COTA
• Julieann O. Rayos
• Real Hope Marriage and Family Therapy, Inc.
• Al Pete Reaves
• Daniel E Recalde, DPM
• Ligia Lilibeth Recinos
• Zacharia Reda, M.D.

• Clinical Social Worker in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.