Mirna Gonzales

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

115934 Issued in CA

Practice address

1305 Bear Mountain Blvd
Arvin, CA 93203-1231

Phone

(661) 396-7100

Fax

(661) 854-2689

NPI assigned

Nov 26, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infusion and Clinical Services IncGroup PAC ID 5890934426, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Infusion and Clinical Services, Inc.

  • Primary Care Clinic/Center
  • Bakersfield, CA
  • NPI 1083952857

  CA

  Medicare reassignment Care Compare group NPD
• Infusion and Clinical Services, Inc

  • Family Medicine Physician
  • Santa Barbara, CA
  • NPI 1922486406
  NPD
• Infusion and Clinical Services,Inc

  • Primary Care Clinic/Center
  • Bakersfield, CA
  • NPI 1578111308
  NPD

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1053741124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 BEAR MOUNTAIN BLVD",
            "city": "ARVIN",
            "state": "CA",
            "postal_code": "932031231",
            "telephone_number": "661-396-7100",
            "fax_number": "661-854-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 BEAR MOUNTAIN BLVD",
            "city": "ARVIN",
            "state": "CA",
            "postal_code": "932031231",
            "telephone_number": "661-396-7100",
            "fax_number": "661-854-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MIRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 82350",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "115934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Jumangit Gabrillo, NURSE PRACTITIONER
• Zeel Gajera
• Garfield Beach CVS LLC
• Sarah Rae Geiger
• Kulbir Kaur Gill, FNP
• Good Samaritan Hospital Ca LTD PTP
• Leticia R Graham, COTA
• Dulce R Guerrero
• Infusion and Clinical Services, Inc
• Kern Rural Wellness Center, Inc.

• All providers in Arvin, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.