Samuel Gregory Gonzalez, M.A. MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

45661 Issued in CA

Practice address

1317 Huntington Dr
South Pasadena, CA 91030-4511

Phone

(323) 344-5541

Fax

(323) 344-5550

NPI assigned

Mar 9, 2007

Last updated

Mar 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1467584268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD",
            "address_2": "SUITE 329",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012039",
            "telephone_number": "818-324-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 HUNTINGTON DR",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304511",
            "telephone_number": "323-344-5541",
            "fax_number": "323-344-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SAMUEL",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "M.A. MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": "42788",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Gonzalez
• Jose Joaquin Gonzalez, PH.D.
• Maritza Gonzalez
• Mary Gonzalez
• Richard Gonzalez
• Tracy Laine Graham-Rice, LEP, PPS
• Marina M Grande Rivas
• Elijah J Grant
• Evan Green
• Lily Chen Greenberg, MD

• Marriage & Family Therapist in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.