Individual provider Active NPI

Andrew David Gonzalez

  • Marriage & Family Therapist
  • Murrieta, CA
National Provider Identifier
1649759135
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
105238 Issued in CA
Practice address
41880 Kalmia St Ste 115
Murrieta, CA 92562-8835
Phone
(562) 233-2260
NPI assigned
Aug 7, 2018
Last updated
Sep 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 105238 CA Primary

Addresses

Primary practice location

41880 Kalmia St Ste 115
Murrieta, CA 92562-8835

Mailing address

41880 Kalmia St Ste 115
Murrieta, CA 92562-8835
Phone (562) 233-2260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240325002558 CA Practitioner - Marriage and Family Therapist 2668819723 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
124461CAMDSocial Worker
105238CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Loma Linda University Medical Center CurrentSince Feb 11, 2024 Accepting new patients
Blue Horizon Marriage and Family Therapy Inc Marriage & Family Therapist Current Accepting new patients
Loma Linda University Medical Center CurrentSince Feb 11, 2024 Accepting new patients
Blue Horizon Marriage and Family Therapy Inc Marriage & Family Therapist Current Accepting new patients
Blue Horizon Marriage and Family Therapy Inc Marriage & Family Therapist Current Accepting new patients

Locations

11234 Anderson St
#1153
Loma Linda, CA 92350

28078 Baxter Rd
Ste 240
Murrieta, CA 92563
Phone (951) 290-6530

41880 Kalmia St
Ste 115
Murrieta, CA 92562
Phone (562) 233-2260

1686 Barton Rd
Redlands, CA 92373
Phone (909) 558-9200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1649759135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41880 KALMIA ST STE 115",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628835",
            "telephone_number": "562-233-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41880 KALMIA ST STE 115",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628835",
            "telephone_number": "562-233-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.