Individual provider Active NPI

Kaitlyn Brigid Gonzalez Horta

  • Community Health Worker
  • Long Beach, CA
National Provider Identifier
1083546295
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
111 W Ocean Blvd Ste 400
Long Beach, CA 90802-4633
Phone
(844) 982-6374
NPI assigned
Jun 1, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X CA Primary

Addresses

Primary practice location

111 W Ocean Blvd Ste 400
Long Beach, CA 90802-4633

Mailing address

18645 E Gallarno Dr
Covina, CA 91722-1923
Phone (323) 718-0816

Other practice location 1

17130 Sequoia St Ste 106
Hesperia, CA 92345-1827
Phone (626) 649-4701

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

NPI Registry JSON

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

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1083546295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18645 E GALLARNO DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917221923",
            "telephone_number": "323-718-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W OCEAN BLVD STE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024633",
            "telephone_number": "844-982-6374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17130 Sequoia St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Hesperia",
            "state": "CA",
            "postal_code": "923451827",
            "country_code": "US",
            "telephone_number": "626-649-4701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ HORTA",
        "first_name": "KAITLYN",
        "middle_name": "BRIGID",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.