Individual provider Active NPI

Bianca Raquel Gonzalez

  • Social Worker
  • Murrieta, CA
National Provider Identifier
1720421332
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
60988 Issued in CA
Practice address
24275 Jefferson Ave
Murrieta, CA 92562-7285
Phone
(951) 677-5599
Fax
(951) 698-0461
NPI assigned
Apr 12, 2013
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Social Worker 104100000X 60988 CA Primary
Clinical Social Worker 1041C0700X 82686 CA

Addresses

Primary practice location

24275 Jefferson Ave
Murrieta, CA 92562-7285

Mailing address

24275 Jefferson Ave
Murrieta, CA 92562-7285
Phone (951) 677-5599

Other names 1

  • Bianca Raquel Solis Former name

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

LicenseStateTypeSpecialty
82686CAMDPharmacist
60988CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1720421332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24275 JEFFERSON AVE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925627285",
            "telephone_number": "951-677-5599",
            "fax_number": "951-698-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24275 JEFFERSON AVE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925627285",
            "telephone_number": "951-677-5599",
            "fax_number": "951-698-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "BIANCA",
        "middle_name": "RAQUEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "60988",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "82686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIANCA",
            "last_name": "SOLIS",
            "middle_name": "RAQUEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.