Active NPI
Elizabeth Gonzalez
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1083364368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 84941
- Practice address
- 1510 San Pablo St Ste 144
Los Angeles, CA 90033-5394 - Phone
- (323) 442-5770
- NPI assigned
- Mar 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 84941 | CA | Primary |
Addresses
Primary practice location
1510 San Pablo St Ste 144
Los Angeles, CA 90033-5394
Mailing address
1740 Almondwood St
La Habra, CA 90631-6920
Phone (714) 615-4368
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gonz652@usc.edu |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84941 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1083364368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 ALMONDWOOD ST",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906316920",
"telephone_number": "714-615-4368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 SAN PABLO ST STE 144",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335394",
"telephone_number": "323-442-5770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-28",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "84941",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gonz652@usc.edu",
"affiliation": "N",
"address_1": "1510 San Pablo St Ste 144",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900335394",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.