Active NPI
Stephanie J. Gonzalez
- Secured Medical Transport (VAN)
- Los Angeles, CA
National Provider Identifier
1497040133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Secured Medical Transport (VAN)
- Practice address
- 6112 Allston St
(Location Varys)
Los Angeles, CA 90022 - Phone
- (213) 858-2500
- Fax
- (323) 724-1178
- NPI assigned
- Jun 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Secured Medical Transport (VAN) | 343800000X | CA | Primary |
Addresses
Primary practice location
6112 Allston St
(Location Varys)
Los Angeles, CA 90022
Mailing address
6112 Allston St
Los Angeles, CA 90022
Phone (213) 858-2500
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307664000000",
"number": "1497040133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6112 ALLSTON ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90022",
"telephone_number": "213-858-2500",
"fax_number": "323-724-1178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6112 ALLSTON ST",
"address_2": "(LOCATION VARYS)",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90022",
"telephone_number": "213-858-2500",
"fax_number": "323-724-1178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "STEPHANIE",
"middle_name": "J.",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-10",
"last_updated": "2011-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.