Fabian Barajas Gonzalez

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

21520 Pioneer Blvd Ste 203
Hawaiian Gardens, CA 90716-2601

Phone

(562) 865-3644

NPI assigned

Nov 4, 2013

Last updated

Oct 17, 2018By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1497184139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6762 LEXINGTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900381217",
            "telephone_number": "323-380-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21520 PIONEER BLVD STE 203",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907162601",
            "telephone_number": "562-865-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAJAS GONZALEZ",
        "first_name": "FABIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amrit Singh MD Inc
• Celia Avila
• Marcela Avila
• Azar Daneshbod MD Medical Corporation
• Jessica Mirella Banuelos
• Better Wellness Therapy, a Licensed Clinical Social Worker Corporation
• Eunjoo Bhang
• Dominic Biddle
• Sharon Bonilla, CTRS 82551
• Kristina Briggs

• Rehabilitation Practitioner in Hawaiian Gardens, CA
• Providers in Hawaiian Gardens, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.