Individual provider Active NPI

Babette Joyce Gonzales de Garcia, LPT

  • Licensed Psychiatric Technician
  • Chowchilla, CA
National Provider Identifier
1104217652
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Psychiatric TechnicianTaxonomy code 167G00000X
License
29291 Issued in CA
Practice address
820 Monterey Ave
Chowchilla, CA 93610-2345
Phone
(909) 272-7906
NPI assigned
Feb 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Psychiatric Technician 167G00000X 29291 CA Primary

Addresses

Primary practice location

820 Monterey Ave
Chowchilla, CA 93610-2345

Mailing address

820 Monterey Ave
Chowchilla, CA 93610-2345
Phone (909) 272-7906

Other names 1

  • Babette Joyce Gonzales Former name

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

LicenseStateTypeSpecialty
29291CAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1104217652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 MONTEREY AVE",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936102345",
            "telephone_number": "909-272-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 MONTEREY AVE",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936102345",
            "telephone_number": "909-272-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES DE GARCIA",
        "first_name": "BABETTE",
        "middle_name": "JOYCE",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "29291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BABETTE",
            "last_name": "GONZALES",
            "middle_name": "JOYCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chowchilla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.