Angela Lynn Gonzalez

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

069202417 Issued in CA

Practice address

805 E Walnut Ave
Lompoc, CA 93436-7027

Phone

(805) 735-3714

NPI assigned

Jul 2, 2018

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carnahan Therapy the Work Center, Inc.

  • Occupational Therapist
  • Lompoc, CA
  • NPI 1407970791
  NPD (past)
• Carnahan Therapy/the Work Center, Inc.

  • Occupational Therapist
  • Lompoc, CA
  • NPI 1043307200
  NPD (past)

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1548756695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S I ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367701",
            "telephone_number": "805-315-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E WALNUT AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367027",
            "telephone_number": "805-735-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "4715",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "069202417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Epimaquio Gomez
• Maria Gomez
• Chelsea Gomori
• Jille Ann Regine Del Rosario Gonzales-Torreliza, DDS
• Joni Rene Gonzales
• Janet Gonzalez
• Kira Gonzalez, PPS
• Luis Gonzalez
• Myrna Bridgette Gonzalez
• Nancy Gonzalez

• All providers in Lompoc, CA
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.