Active NPI
Nadia Deeann Gonzalez
- Nurse's Aide
- Fresno, CA
National Provider Identifier
1760067888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 01177840
- Practice address
- 3749 N Fruit Ave Apt B
Fresno, CA 93705-5233 - Phone
- (559) 813-4047
- NPI assigned
- Mar 10, 2021
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 01177840 | CA | Primary |
Addresses
Primary practice location
3749 N Fruit Ave Apt B
Fresno, CA 93705-5233
Mailing address
3749 N Fruit Ave Apt B
Fresno, CA 93705-5233
Phone (559) 813-4047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SSN | Other | CA | NADIA GONZALEZ |
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 |
|---|---|---|---|
| 01177840 | CA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1760067888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3749 N FRUIT AVE APT B",
"city": "FRESNO",
"state": "CA",
"postal_code": "937055233",
"telephone_number": "559-813-4047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3749 N FRUIT AVE APT B",
"city": "FRESNO",
"state": "CA",
"postal_code": "937055233",
"telephone_number": "559-813-4047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "NADIA",
"middle_name": "DEEANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-10",
"last_updated": "2021-03-10",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "CA",
"license": "01177840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NADIA GONZALEZ",
"identifier": "SSN",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.