Justine a Gonzalez, OD, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JUSTINE A GONZALEZ, OD, INC

Practice address

4409 E Los Coyotes Diagonal
Long Beach, CA 90815-2820

Phone

(562) 437-1276

NPI assigned

Apr 3, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Justine Alysse Gonzalez, ODNPI 1457889776

Title

Optometrist

Phone

(562) 445-5463

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justine Alysse Gonzalez, OD

  • Optometrist
  • Long Beach, CA
  • NPI 1457889776
  Medicare reassignment NPD Authorized official
• Luelinda Tomlin, OD

  • Optometrist
  • Long Beach, CA
  • NPI 1013918911
  NPD

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1124870175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14003 ADOREE ST",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381802",
            "telephone_number": "562-445-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 E LOS COYOTES DIAGONAL",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152820",
            "telephone_number": "562-437-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTINE A GONZALEZ, OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "ALYSSE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "562-445-5463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.