Active NPI
Jonathan A Gonzales
- Occupational Therapy Assistant
- Sunland, CA
National Provider Identifier
1215576269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 3725
- Practice address
- 7819 Jayseel St
Sunland, CA 91040-2511 - Phone
- (818) 913-8840
- NPI assigned
- Dec 21, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 3725 | CA | Primary |
Addresses
Primary practice location
7819 Jayseel St
Sunland, CA 91040-2511
Mailing address
7819 Jayseel St
Sunland, CA 91040-2511
Phone (818) 913-8840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F4810874 | Other | CA | DL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3725 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576886400000",
"number": "1215576269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7819 JAYSEEL ST",
"city": "SUNLAND",
"state": "CA",
"postal_code": "910402511",
"telephone_number": "818-913-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7819 JAYSEEL ST",
"city": "SUNLAND",
"state": "CA",
"postal_code": "910402511",
"telephone_number": "818-913-8840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "JONATHAN",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-21",
"last_updated": "2019-12-21",
"certification_date": "2019-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "3725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DL",
"identifier": "F4810874",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sunland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.