Individual provider Active NPI

Carmela Gonzalez

  • Case Manager/Care Coordinator
  • Reseda, CA
National Provider Identifier
1679157135
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
7101 Baird Ave
Reseda, CA 91335-4150
Phone
(818) 342-5897
Fax
(818) 975-5008
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Case Manager/Care Coordinator 171M00000X CA Primary

Addresses

Primary practice location

7101 Baird Ave
Reseda, CA 91335-4150

Mailing address

7101 Baird Ave
Reseda, CA 91335-4150
Phone (818) 342-5897

Other practice location 1

7101 Baird Ave
Reseda, CA 91335-4150
Phone (818) 342-5897 ext. 1013

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

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1679157135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 BAIRD AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354150",
            "telephone_number": "818-342-5897",
            "fax_number": "818-975-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 BAIRD AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354150",
            "telephone_number": "818-342-5897",
            "fax_number": "818-975-5008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 Baird Ave",
            "address_purpose": "LOCATION",
            "city": "Reseda",
            "state": "CA",
            "postal_code": "913354150",
            "country_code": "US",
            "telephone_number": "818-342-5897 x1013",
            "fax_number": "818-975-5008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CARMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.