Raul A Gonzalez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1486 Judson Way
Chula Vista, CA 91911-5251

Phone

(619) 341-3120

Fax

(800) 350-1432

NPI assigned

Nov 20, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Prof. Raul A Gonzalez Former name

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": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1578166526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1486 JUDSON WAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919115251",
            "telephone_number": "619-341-3120",
            "fax_number": "800-350-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1486 JUDSON WAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919115251",
            "telephone_number": "619-341-3120",
            "fax_number": "800-350-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "RAUL",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAUL",
            "last_name": "GONZALEZ",
            "middle_name": "A",
            "prefix": "PROF.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Carmen Avila Gonzalez, MSW
• Melissa Victoria Gonzalez
• Miguel A. C. Gonzalez, M.D.
• Miriam Gonzalez
• Monica E Gonzalez
• Rhoda Gonzalez
• Rosemary Gonzalez, PPS
• Sabrina Sheccid Gonzalez
• Sara Gonzalez
• Stephany Gonzalez

• Behavior Technician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.