Kishi Gonzales

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

9517 Rea Ave
California City, CA 93505-4831

Phone

(661) 506-0077

NPI assigned

Jun 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Fleming & Barnes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Torrance, CA
  • NPI 1760940480
  NPD (past)

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1376072918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37643 PRENTISS AVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935507711",
            "telephone_number": "661-506-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9517 REA AVE",
            "city": "CALIFORNIA CITY",
            "state": "CA",
            "postal_code": "935054831",
            "telephone_number": "661-506-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23860 Hawthorne Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905058201",
            "country_code": "US",
            "telephone_number": "310-791-3064 x502",
            "fax_number": "310-791-3084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "KISHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95-2633765",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Francis Frazier Jr.
• Erika T Frieson, MSW
• Kalyn Jeannine Garcia
• Glenn Ong-Veloso a Dental Corporation
• Cenida Nohemi Gomez-Flores, RD
• Diana Jeanette Gonzalez
• Guided Path Personal Support Services
• Miranda Tyson Harris
• Rhonnie Danielle Harris
• Donald T Harwick, P.A.

• Rehabilitation Practitioner in California City, CA
• Providers in California City, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.