Sergio Gonzalez Pavez

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC#45937 Issued in CA

Practice address

640 14TH Street
San Francisco, CA 94114-1309

Phone

(415) 572-5408

Fax

(415) 864-2065

NPI assigned

Oct 30, 2012

Sex

Male

Sole proprietor

Yes

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": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1073867917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 14TH STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141309",
            "telephone_number": "415-572-5408",
            "fax_number": "415-864-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 14TH STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141309",
            "telephone_number": "415-572-5408",
            "fax_number": "415-864-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ PAVEZ",
        "first_name": "SERGIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC#45937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Xantal Gonzalez Coyle
• Yajara Gonzalez Delgado
• Andrea Gonzalez Guemes
• Julio Cesar Gonzalez Maya, MD
• Nicole Gonzalez Nava
• Yashua Gonzalez Robledo, MFT
• Juan Miguel Gonzalez Velez, MD
• Rafael Gonzalez-Amezcua, MD
• Oliver Gonzalez-Yoakum
• Alejandra Rossana Gonzalez, MD

• Marriage & Family Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.