Active NPI
Mara Nonita Serrano Gonzalez
- Pharmacist
- Oroville, CA
National Provider Identifier
1588984066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25129
- Practice address
- 2700 Oro Dam Blvd E
Oroville, CA 95966-5117 - Phone
- (530) 533-8773
- Fax
- (530) 533-8627
- NPI assigned
- Jun 7, 2010
- Last updated
- Jun 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25129 | CA | Primary |
Addresses
Primary practice location
2700 Oro Dam Blvd E
Oroville, CA 95966-5117
Mailing address
100 Sterling Oaks Dr
Apartment 145
Chico, CA 95928-9451
Phone (530) 413-3016
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25129 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275868800000",
"number": "1588984066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 STERLING OAKS DR",
"address_2": "APARTMENT 145",
"city": "CHICO",
"state": "CA",
"postal_code": "959289451",
"telephone_number": "530-413-3016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 ORO DAM BLVD E",
"city": "OROVILLE",
"state": "CA",
"postal_code": "959665117",
"telephone_number": "530-533-8773",
"fax_number": "530-533-8627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MARA NONITA",
"middle_name": "SERRANO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-07",
"last_updated": "2010-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "25129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oroville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.