Active NPI
Greggory Gonzalez
- Community Health Worker
- Los Angeles, CA
National Provider Identifier
1518678259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 8836 S Vermont Ave
Los Angeles, CA 90044-4832 - Phone
- (323) 751-3026
- NPI assigned
- Dec 13, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary | ||
| Peer Specialist | 175T00000X |
Addresses
Primary practice location
8836 S Vermont Ave
Los Angeles, CA 90044-4832
Mailing address
8836 S Vermont Ave
Los Angeles, CA 90044-4832
Phone (323) 751-3026
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": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1518678259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8836 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900444832",
"telephone_number": "323-751-3026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8836 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900444832",
"telephone_number": "323-751-3026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "GREGGORY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-13",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
}
],
"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 Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.