Brenda Patricia Gonzales

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

40963 Issued in CA

Practice address

2250 Soquel Ave
Santa Cruz, CA 95062-1402

Phone

(831) 600-2800

NPI assigned

Apr 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1265096333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 SOQUEL AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 SOQUEL AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621402",
            "telephone_number": "831-600-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 Soquel Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950621402",
            "country_code": "US",
            "telephone_number": "831-600-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 soquel Avenue Sans",
            "address_purpose": "LOCATION",
            "city": "Santa ceuz",
            "state": "CA",
            "postal_code": "95062",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "BRENDA",
        "middle_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "40963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn G Gomez, PA-C
• Lizbeth Gomez
• Robert Antonio Gomez
• Aletta Marlene Gonzales
• Alysha Gonzales
• Brianna Gonzales
• Christopher Louis Gonzales
• David Gonzales, P.T.
• Emma Gonzales
• Renars Gonzales

• Licensed Psychiatric Technician in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.