Irma Gonzalez Cisneros

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

200 Broadway St Ste 70
King City, CA 93930-2866

Phone

(831) 386-6870

NPI assigned

Sep 27, 2022

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 27, 2022.

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1487378147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 BARBERA WAY",
            "city": "GONZALES",
            "state": "CA",
            "postal_code": "939269440",
            "telephone_number": "831-229-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BROADWAY ST STE 70",
            "city": "KING CITY",
            "state": "CA",
            "postal_code": "939302866",
            "telephone_number": "831-386-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ CISNEROS",
        "first_name": "IRMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Cynthia Garza
• Verenis Gasca
• Marie Samir Girguis, PHARMD
• Ruby Godoy, PHARMACY TECH
• Carina Gonzales
• Juan M Gonzalez, MD
• Blanca Grado
• George Christopher Graveline, CADC II #A062350323
• Bruce Greenberg, M.D.
• Juan Carlos Guereca Romero, DDS

• All providers in King City, CA
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.