Angela Gonzales
Individual provider Active NPI Occupational Therapist · 300 Canal Street, CA
NPI 1548009293 · NPPES record last updated May 22, 2024
Key facts
- NPI
- 1548009293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 26406 (CA)
- Practice address
- Mee Memorial Healthcare System
300 Canal Street, CA 93930 - Phone
- (831) 385-6000
- NPI assigned
- May 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26406 | CA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 26406 | CA | Yes |
Addresses
Primary practice location
Mee Memorial Healthcare System
300 Canal Street, CA 93930
Mailing address
8 Schoolhouse Rd
Millstone TWP, NJ 08510-1712
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.