Samantha N Gonzalez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3625 Santa Cruz CT
Hemet, CA 92545-6220

Phone

(951) 235-9503

NPI assigned

Dec 27, 2024

Last updated

Dec 27, 2024By the provider in NPPES

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

Other names 1

• Samantha Nichole Clark Former name

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": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1285442905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 SANTA CRUZ CT",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925456220",
            "telephone_number": "951-235-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 SANTA CRUZ CT",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925456220",
            "telephone_number": "951-235-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SAMANTHA",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "CLARK",
            "middle_name": "NICHOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Rosario Gonzalez, RCFE ADMINISTRATOR
• Maricela Gonzalez
• Patricia N Gonzalez
• Priscilla Gonzalez
• Saira Gonzalez, CADC-III
• Sara Calderon Gonzalez, NP
• Sarah Marie Eden Gonzalez
• Natalie Rae Goodermont, RN, MSN, FNP
• Jamarion Goodwin
• Benjamin Stuart Gordon, PA-C

• Behavior Technician in Hemet, CA
• Providers in Hemet, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.