Cristina Gonzalez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW90189 Issued in CA

Practice address

1756 S Lewis Rd
Camarillo, CA 93012-8520

Phone

(805) 437-2903

NPI assigned

Aug 6, 2015

Reactivated

Aug 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• San Fernando Valley Community Mental Health Center

  • Psychiatry Physician
  • Van Nuys, CA
  • NPI 1164427316
  NPD (past)
• San Fernando Valley Community Mental Health Center, Inc.

  • Psychiatry Physician
  • Van Nuys, CA
  • NPI 1821128976
  NPD (past)

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1184000689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 S LEWIS RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128520",
            "telephone_number": "805-383-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 S LEWIS RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128520",
            "telephone_number": "805-437-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "deactivation_date": "2019-06-04",
        "reactivation_date": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW90189",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CASA C- HOUSE OF TRANSITION",
            "identifier": "1982813721",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH CASE MANAGER",
            "identifier": "101Y00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milabeth Banayat Gonzales
• Adriana Kassey Gonzalez Ramirez
• Alejandra Gonzalez
• Alexandra Gonzalez
• Ariana Gonzalez
• Eliana Vanessa Gonzalez
• Jose Gonzalez
• Lisbeth Karina Gonzalez
• Miranda D Gonzalez
• Rose Gonzalez

• Clinical Social Worker in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.