David Gonzalez

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

214700026 Issued in CA

Practice address

185 N Redwood Dr Ste 120
San Rafael, CA 94903-1965

Phone

(415) 521-6847

Fax

(415) 849-1237

NPI assigned

Feb 13, 2019

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

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.

• Maa Soulcare Dba Interim Health Care

  • Home Health Agency
  • San Rafael, CA
  • NPI 1164246393
  NPD (past)

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1619433729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 N REDWOOD DR STE 120",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031965",
            "telephone_number": "415-521-6847",
            "fax_number": "415-849-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 N REDWOOD DR STE 120",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031965",
            "telephone_number": "415-521-6847",
            "fax_number": "415-849-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "CA",
            "license": "214700026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Gonzales
• Rachel Hellen Gonzales
• Veronica A Gonzales, PA
• Valeria Gonzalez Rodriguez
• Abigail Aurelia Gonzalez
• Flor Gonzalez
• Henry Antonio Gonzalez
• Israel Gonzalez, RDAEF
• Michelle Jo Gonzalez, DDS
• Renee Louise Gonzalez, DDS

• Home Health Aide in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Home Health Aide in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.