Active NPI
Sophia Gonzales
- Adult Companion
- Modesto, CA
National Provider Identifier
1770721334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 500 N 9TH St Ste a
Modesto, CA 95350-5814 - Phone
- (209) 558-4598
- Fax
- (209) 558-4586
- NPI assigned
- Feb 4, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C9301214 | CA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
500 N 9TH St Ste a
Modesto, CA 95350-5814
Mailing address
3416 Alisa CT
Modesto, CA 95356-9440
Phone (209) 505-0346
Other practice location 1
1904 Richland Ave.
Ceres, CA 95307
Phone (209) 541-2121
Other practice location 2
800 Scenic Dr
Modesto, CA 95350-6131
Phone (209) 525-6150
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 |
|---|---|---|---|
| C9301214 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1770721334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3416 ALISA CT",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569440",
"telephone_number": "209-505-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N 9TH ST STE A",
"city": "MODESTO",
"state": "CA",
"postal_code": "953505814",
"telephone_number": "209-558-4598",
"fax_number": "209-558-4586"
}
],
"practiceLocations": [
{
"address_1": "1904 Richland Ave.",
"address_purpose": "LOCATION",
"city": "Ceres",
"state": "CA",
"postal_code": "95307",
"country_code": "US",
"telephone_number": "209-541-2121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Scenic Dr",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953506131",
"country_code": "US",
"telephone_number": "209-525-6150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALES",
"first_name": "SOPHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-04",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "C9301214",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.