Omar Gonzalez Ponce

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0-17-8098 Issued in CA

Practice address

6400 Tupelo Dr
Citrus Heights, CA 95621-1741

Phone

(916) 729-3098

NPI assigned

Sep 26, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Generalized Positive Practices & Solutions

  • Behavior Analyst
  • Fair Oaks, CA
  • NPI 1922765932
  NPD Authorized official

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1437668142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 HIGHLAND POINTE DR STE 350",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785423",
            "telephone_number": "916-729-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 TUPELO DR",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956211741",
            "telephone_number": "916-729-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "OMAR",
        "middle_name": "GONZALEZ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "0-17-8098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Pirtle
• Athena Jacqueline Place
• Blakely Plemmons
• Shannon L Plummer, ASW
• Naomi Polley, LACTATION CONSULTANT
• Jasmine Pooley
• Port City Investments LLC
• Susan B Potter, PA-C
• Guinevere Victoria Powell
• Kathy M Powell

• Behavior Analyst in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; 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.