Joseph Gonzalez, SPORTS REHAB

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

43386 Issued in CA

Practice address

3303 Pico Blvd Ste G
Santa Monica, CA 90405-2158

Phone

(310) 231-8866

NPI assigned

Feb 6, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: contact@nextlevelholistichealing.com

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1134825805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 PICO BLVD STE G",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904052158",
            "telephone_number": "310-231-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 PICO BLVD STE G",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904052158",
            "telephone_number": "310-231-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JOSEPH",
        "credential": "SPORTS REHAB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": "43386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CONTACT@NEXTLEVELHOLISTICHEALING.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAIL",
            "address_1": "3303 Pico Blvd Ste G",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904052158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carlos Alonso Gonzalez, PT, DPT
• Daniel Mason Gonzalez, MD
• Elena Gonzalez, LCSW
• Elvira Sofia Gonzalez, MD
• Gina Gonzalez, D.D.S.
• Maria Luisa Gonzalez
• Maricela Gonzalez
• Randy Gonzalez
• Raul Gonzalez, LCSW
• Good Shepherd Health Care Center of Santa Monica

• Rehabilitation Practitioner in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.