Active NPI
Rachel Naomi Gonzales, LCSW
- Social Worker
- Covina, CA
National Provider Identifier
1518290097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 65209
- Practice address
- 1411 N Grand Ave
Suite 100
Covina, CA 91724-1001 - Phone
- (323) 810-9630
- NPI assigned
- Sep 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 27156 | CA | |
| Social Worker | 104100000X | 65209 | CA | Primary |
Addresses
Primary practice location
1411 N Grand Ave
Suite 100
Covina, CA 91724-1001
Mailing address
1411 N Grand Ave
Suite 100
Covina, CA 91724-1001
Phone (323) 810-9630
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27156 | CA | MD | Social Worker |
| 65209 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424908800000",
"number": "1518290097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N GRAND AVE",
"address_2": "SUITE 100",
"city": "COVINA",
"state": "CA",
"postal_code": "917241001",
"telephone_number": "323-810-9630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N GRAND AVE",
"address_2": "SUITE 100",
"city": "COVINA",
"state": "CA",
"postal_code": "917241001",
"telephone_number": "323-810-9630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "RACHEL",
"middle_name": "NAOMI",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-15",
"last_updated": "2015-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "27156",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "65209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.