Active NPI
Yvonne Burgos Gonzalez
- Counselor
- Fresno, CA
National Provider Identifier
1316546682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 4411 E Kings Canyon Rd # 319
Fresno, CA 93702-3604 - Phone
- (559) 600-2382
- NPI assigned
- Oct 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Other Technician | 247200000X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
4411 E Kings Canyon Rd # 319
Fresno, CA 93702-3604
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Other practice location 1
496 S Barton Ave
Fresno, CA 93702-2985
Phone (559) 860-4422
Other practice location 2
7108 S Kanner Hwy
Stuart, FL 34997
Phone (855) 832-6727 ext. 1420
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1316546682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7108 S KANNER HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349977462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 E KINGS CANYON RD # 319",
"city": "FRESNO",
"state": "CA",
"postal_code": "937023604",
"telephone_number": "559-600-2382"
}
],
"practiceLocations": [
{
"address_1": "496 S Barton Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937022985",
"country_code": "US",
"telephone_number": "559-860-4422",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7108 S Kanner Hwy",
"address_purpose": "LOCATION",
"city": "Stuart",
"state": "FL",
"postal_code": "34997",
"country_code": "US",
"telephone_number": "855-832-6727 x1420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGOS GONZALEZ",
"first_name": "YVONNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-19",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.