Active NPI
Kararycarlos Xavier Gonzalez, APCC5527
- Student in an Organized Health Care Education/Training Program
- Fresno, CA
National Provider Identifier
1427625482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1925 E Dakota Ave
Fresno, CA 93726-4821 - Phone
- (559) 216-1075
- NPI assigned
- Jun 8, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APCC5527 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1925 E Dakota Ave
Fresno, CA 93726-4821
Mailing address
142 Polson Ave
Clovis, CA 93612-0236
Phone (661) 599-1488
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 |
|---|---|---|---|
| APCC5527 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682121600000",
"number": "1427625482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 POLSON AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936120236",
"telephone_number": "661-599-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 E DAKOTA AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937264821",
"telephone_number": "559-216-1075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "KARARYCARLOS",
"middle_name": "XAVIER",
"credential": "APCC5527",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-08",
"last_updated": "2023-04-22",
"certification_date": "2023-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "APCC5527",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"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 Apr 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.