Melissa Carol Gonzalez, RN
Individual provider Active NPI Registered Nurse · Yermo, CA
NPI 1487564183 · NPPES record last updated Sep 8, 2026
Key facts
- NPI
- 1487564183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN95408169 (CA)
- Practice address
- 35320 Daggett Yermo Rd
Yermo, CA 92398-0408 - Phone
- (760) 254-1332
- NPI assigned
- Sep 8, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN95408169 | CA | Yes |
Addresses
Primary practice location
35320 Daggett Yermo Rd
Yermo, CA 92398-0408
Mailing address
35320 Daggett Yermo Rd
Yermo, CA 92398-0408
Phone (760) 254-1332
Other providers in Yermo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.