Jacqueline Gonzales

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

32511 Issued in CA

Practice address

9864 Baldwin Place
El Monte, CA 91731

Phone

(626) 433-1311

NPI assigned

Jun 8, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Alondra Loya

  • Case Manager/Care Coordinator
  • Fontana, CA
  • NPI 1568160828
  NPD (past)

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1457554164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23301 QUAIL SUMMIT DRIVE",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "91765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9864 BALDWIN PLACE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "91731",
            "telephone_number": "626-433-1311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14677 Merrill Ave",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "92335",
            "country_code": "US",
            "telephone_number": "951-643-2340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95160427",
            "primary": false
        },
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "32511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Gomez
• Rocael Gomez, PA
• Wendy Daniella Gomez, LCSW
• Angelica Gonzales
• Christine Ann Gonzales, MA
• Monique Gonzales
• Roxana Gonzalez Beltran
• Victor Manuel Gonzalez Vera
• Antonio Gonzalez
• Arnulfo Gonzalez Sr.

• Licensed Psychiatric Technician in El Monte, CA
• Providers in El Monte, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.