Christopher Medina Gonzales Jr., ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

951 Issued in CA

Practice address

1340 Tully Rd
San Jose, CA 95122-3055

Phone

(408) 271-3900

NPI assigned

Aug 27, 2012

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Healthright 360

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1760427843
  NPD
• Asian American Recovery Services

  • Counselor
  • San Jose, CA
  • NPI 1265682249
  NPD (past)
• Asian American Recovery Services

  • Counselor
  • San Jose, CA
  • NPI 1356591333
  NPD (past)

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1306194196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 TULLY RD",
            "address_2": "SUITE 301",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951223055",
            "telephone_number": "408-271-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 TULLY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951223055",
            "telephone_number": "408-271-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 E Virginia St",
            "address_2": "Suite 280",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951125857",
            "country_code": "US",
            "telephone_number": "408-287-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "CHRISTOPHER",
        "middle_name": "MEDINA",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-27",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy L. Gonsier, M.D.
• Edwin Obusan Gonzaga, NURSE LVN
• Calista Gonzales
• Cathy Lynn Lorenzana Gonzales, OTR/L
• Christian Fabian Gonzales, B.A.
• Chrystal G Gonzales, PPS, LEP
• Dorothy M Gonzales
• Elizabeth Gonzales
• Eric Gonzales
• Estevan Gilberto Gonzales

• Clinical Social Worker in San Jose, CA
• Providers in San Jose, 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 Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.