Andrea Marie Gonzalez, BA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

6193 Issued in CA

Practice address

1202 Kingsdale Dr
Corona, CA 92878-7708

Phone

(951) 870-6002

NPI assigned

Sep 10, 2020

Sex

Female

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

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1104431774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 KINGSDALE DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928787708",
            "telephone_number": "951-870-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 KINGSDALE DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928787708",
            "telephone_number": "951-870-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "6193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adanesne Gonzalez
• Alexis Gonzalez
• Alia Gonzalez
• Alondra Gonzalez
• Andrea Gonzalez
• Atanacio Ryan Gonzalez Jr.
• Cassandra Gonzalez
• Citlalli Gonzalez, LMFT
• David Anthony Gonzalez
• David Rene Gonzalez

• Speech-Language Assistant in Corona, CA
• Providers in Corona, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.