Individual provider Active NPI

Alejandro Isaac Gonzalez, MSW

  • Clinical Social Worker
  • Newport Beach, CA
National Provider Identifier
1306421144
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100359 Issued in CA
Practice address
4701 Von Karman Ave.
Ste 331
Newport Beach, CA 92660-8150
Phone
(949) 536-5133
NPI assigned
Mar 12, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 100359 CA Primary

Addresses

Primary practice location

4701 Von Karman Ave.
Ste 331
Newport Beach, CA 92660-8150

Mailing address

10007 Stanford Ave
South Gate, CA 90280-5517

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

LicenseStateTypeSpecialty
100359CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Florece Family Services Inc CurrentSince Oct 29, 2023 Accepting new patients
Nancy Paloma Collins Licensed Marriage and Family Therapist Inc. CurrentSince Mar 16, 2021 Accepting new patients

Locations

4701 Von Karman Ave
Ste 331
Newport Beach, CA 92660
Phone (323) 896-9794

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1306421144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10007 STANFORD AVE",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902805517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 VON KARMAN AVE.",
            "address_2": "STE 331",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608150",
            "telephone_number": "949-536-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ALEJANDRO",
        "middle_name": "ISAAC",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-12",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "100359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.