Active NPI
Jovany Gonzales-Estrada, CFY-SLP
- Speech-Language Pathologist
- Woodland, CA
National Provider Identifier
1780129817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1321 College St
# E
Woodland, CA 95695 - Phone
- (530) 668-1010
- Fax
- (530) 668-9799
- NPI assigned
- Dec 28, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1321 College St
# E
Woodland, CA 95695
Mailing address
1321 College St
# E
Woodland, CA 95695
Phone (530) 668-1010
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J & S Pediatric Therapy, P.C. | Speech-Language Pathologist | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- San Diego, CA
- NPI 1023697877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482883200000",
"number": "1780129817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 COLLEGE ST",
"address_2": "# E",
"city": "WOODLAND",
"state": "CA",
"postal_code": "95695",
"telephone_number": "530-668-1010",
"fax_number": "530-668-9799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 COLLEGE ST",
"address_2": "# E",
"city": "WOODLAND",
"state": "CA",
"postal_code": "95695",
"telephone_number": "530-668-1010",
"fax_number": "530-668-9799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES-ESTRADA",
"first_name": "JOVANY",
"name_prefix": "Mr.",
"credential": "CFY-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-28",
"last_updated": "2016-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.