Individual provider Active NPI

Alicia Raquel Gonzalez, IBCLC

  • Lactation Consultant (Non-RN)
  • Long Beach, CA
National Provider Identifier
1124714068
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-307167 Issued in CA
Practice address
331 E Carson St # D
Long Beach, CA 90807-2702
Phone
(562) 391-6966
NPI assigned
Apr 13, 2023
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X CA
Lactation Consultant (Non-RN) 174N00000X L-307167 CA Primary

Addresses

Primary practice location

331 E Carson St # D
Long Beach, CA 90807-2702

Mailing address

331 E Carson St # D
Long Beach, CA 90807-2702
Phone (562) 391-6966

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
L-307167CAMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Nurturing Nectar Lactation Consultant, Non-RN CurrentSince May 25, 2025 Accepting new patients
Lactation Consultants of America Lactation Consultant, Non-RN PastSince Apr 16, 2023 Accepting new patients

Locations

331 E Carson St
#D
Long Beach, CA 90807
Phone (562) 391-6966

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1124714068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 E CARSON ST # D",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072702",
            "telephone_number": "562-391-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E CARSON ST # D",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072702",
            "telephone_number": "562-391-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ALICIA",
        "middle_name": "RAQUEL",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-307167",
            "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 Oct 28, 2025; 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.