Carmen Macias Gonzalez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

69930 Highway 111
Rancho Mirage, CA 92270-2850

Phone

(760) 992-3039

NPI assigned

Jul 12, 2023

Last updated

Dec 23, 2023By the provider in NPPES

Sex

Female

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": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703289600000",
    "number": "1659050110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30808 AVENIDA MARAVILLA",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922346237",
            "telephone_number": "760-577-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69930 HIGHWAY 111",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702850",
            "telephone_number": "760-992-3039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3605 E Ramon Rd",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922641150",
            "country_code": "US",
            "telephone_number": "760-325-5630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACIAS GONZALEZ",
        "first_name": "CARMEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-12-23",
        "certification_date": "2023-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indermohan Singh Luthra, M.D.
• Christian J Luzar, DMD
• Kelly Lynch, PMHNP
• Daniel Macarro
• David M Macdonald, D.D.S., M.A.
• Robert P Mack, M.D.
• Gerry B. Macutay, M.D.
• Samir P. Macwan, M.D.
• Valerie Ann Madaffari, NP
• Kaitlin Alyce Madary, RN

• Behavior Technician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.

Verify at the official NPI Registry.