Active NPI
Laura Gonzaga
- Professional Counselor
- San Diego, CA
National Provider Identifier
1649049123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APCC14963
- Practice address
- 3517 Camino del Rio S Ste 302
San Diego, CA 92108-4029 - Phone
- (619) 996-3195
- NPI assigned
- Dec 26, 2023
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APCC14963 | CA | Primary |
Addresses
Primary practice location
3517 Camino del Rio S Ste 302
San Diego, CA 92108-4029
Mailing address
8605 Santa Monica Blvd
West Hollywood, CA 90069-4109
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 |
|---|---|---|---|
| APCC14963 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alo Ha Psychological Associates Inc. | Current | Accepting new patients | |
| Robert Zalewski-Zaragoza, MD, Inc | Past | Accepting new patients |
Locations
3517 Camino del Rio S
Ste 302
San Diego, CA 92108
Phone (619) 996-3195
Organizations & group practices 2
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.
-
- Psychologist
- San Diego, CA
- NPI 1770918674
-
- Psychiatry Physician
- San Diego, CA
- NPI 1366857476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1649049123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8605 SANTA MONICA BLVD",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900694109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3517 CAMINO DEL RIO S STE 302",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084029",
"telephone_number": "619-996-3195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZAGA",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-26",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "APCC14963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.