Nahoul Gonzalez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

52491 Issued in CA

Practice address

8905 Venice Blvd Ste 106
Los Angeles, CA 90034-3340

Phone

(424) 298-8005

Fax

(877) 408-2776

NPI assigned

Jan 24, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1588426795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 W ALONDRA BLVD APT 4",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474564",
            "telephone_number": "310-486-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 VENICE BLVD STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343340",
            "telephone_number": "424-298-8005",
            "fax_number": "877-408-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "NAHOUL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "52491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mireya Gonzalez
• Monica Gonzalez
• Monica Gonzalez
• Monica Beatriz Gonzalez, CAMT
• Monique Gonzalez
• Nancy Gonzalez
• Nancy Elizabeth Gonzalez, NP
• Natalie Renee Gonzalez, CCC-SLP
• Nataly Gonzalez
• Nataly Gonzalez

• Physical Therapy Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.