Diego Abran Gonzalez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117516

Practice address

6330 Rugby Ave Ste 200
Huntington Park, CA 90255-6938

Phone

(323) 826-6300

NPI assigned

Aug 17, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1225518343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 E IMPERIAL HWY STE 520",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622697",
            "telephone_number": "323-627-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 RUGBY AVE STE 200",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902556938",
            "telephone_number": "323-826-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DIEGO",
        "middle_name": "ABRAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-17",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "117516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Raymond Gomez, D.D.S.
• Monica Gomez
• Patricia Gomez, AMFT
• Natalia Carolina Gonzalez Esparza, OTR/L
• Anahi Gonzalez
• Guillermina Teresa Gonzalez
• Irasema Gonzalez
• Joanna Marieh Gonzalez
• Jose Manuel Gonzalez
• Lizet Gonzalez

• Clinical Social Worker in Huntington Park, CA
• Providers in Huntington Park, 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 Aug 22, 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.