Individual provider Active NPI

Steven Paul Gonzales

  • Hearing Instrument Specialist
  • Fresno, CA
National Provider Identifier
1346639077
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA7942 Issued in CA
Practice address
4836 N 1St St Ste 102
Fresno, CA 93726-0527
Phone
(559) 225-2211
Fax
(559) 225-2211
NPI assigned
Jan 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA9094 CA
Hearing Instrument Specialist 237700000X HA7942 CA Primary

Addresses

Primary practice location

4836 N 1St St Ste 102
Fresno, CA 93726-0527

Mailing address

4836 N 1St St Ste 102
Fresno, CA 93726-0527
Phone (559) 225-2211

Other identifiers 2

IdentifierTypeStateIssuer
HA7942MedicaidCA
HA9094MedicaidCA

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
HA7942CAMDHearing Instrument Specialist
HA9094CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Aid Center of the San Joaquin Valley Inc. Hearing Instrument Specialist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1346639077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4836 N 1ST ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260527",
            "telephone_number": "559-225-2211",
            "fax_number": "559-225-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4836 N 1ST ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260527",
            "telephone_number": "559-225-2211",
            "fax_number": "559-225-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "STEVEN",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA9094",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA7942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HA7942",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HA9094",
            "state": "CA"
        }
    ],
    "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 Apr 28, 2015; 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.