Active NPI
Fred Gonzales Ninonuevo, PHD
- Clinical Psychologist
- Camp Pendleton, CA
National Provider Identifier
1457337255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP 1987
- Practice address
- Naval Hospital Camp Pendleton
BLDG H100 Attn: Code 094
Camp Pendleton, CA 92055-5191 - Phone
- (760) 725-1555
- Fax
- (760) 725-1350
- NPI assigned
- Dec 22, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP 1987 | MN | Primary |
Addresses
Primary practice location
Naval Hospital Camp Pendleton
BLDG H100 Attn: Code 094
Camp Pendleton, CA 92055-5191
Mailing address
585 Lands End Way
Unit 233
Oceanside, CA 92054-7287
Phone (760) 231-8679
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP 1987 | MN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1457337255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 LANDS END WAY",
"address_2": "UNIT 233",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920547287",
"telephone_number": "760-231-8679",
"fax_number": "760-231-8679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL HOSPITAL CAMP PENDLETON",
"address_2": "BLDG H100 ATTN: CODE 094",
"city": "CAMP PENDLETON",
"state": "CA",
"postal_code": "920555191",
"telephone_number": "760-725-1555",
"fax_number": "760-725-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NINONUEVO",
"first_name": "FRED",
"middle_name": "GONZALES",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP 1987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Pendleton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.