Active NPI
Gabriela Guadalupe Gonzalez
- Social Worker
- Victorville, CA
National Provider Identifier
1306536396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW124323
- Practice address
- 16552 Sunhill Dr Ofc 1
Victorville, CA 92395-4518 - Phone
- (760) 552-6692
- NPI assigned
- May 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | ASW124323 | CA | Primary |
Addresses
Primary practice location
16552 Sunhill Dr Ofc 1
Victorville, CA 92395-4518
Mailing address
1950 S Sunwest LN Ste 200
San Bernardino, CA 92408-3248
Phone (909) 252-4017
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW124323 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1306536396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 S SUNWEST LN STE 200",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083248",
"telephone_number": "909-252-4017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16552 SUNHILL DR OFC 1",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923954518",
"telephone_number": "760-552-6692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "GABRIELA",
"middle_name": "GUADALUPE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-11",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW124323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.