Active NPI
Jonathan Gonzales Jr.
- Peer Specialist
- Bakersfield, CA
National Provider Identifier
1811224330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-ULSWYH
- Practice address
- 1010 1/2 S Union Ave
Bakersfield, CA 93307-3642 - Phone
- (661) 321-0234
- Fax
- (661) 321-9856
- NPI assigned
- Nov 4, 2009
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-ULSWYH | CA | Primary |
Addresses
Primary practice location
1010 1/2 S Union Ave
Bakersfield, CA 93307-3642
Mailing address
312 Kentucky St
Bakersfield, CA 93305-4230
Phone (661) 336-6400
Other practice location 1
2151 College Avenue
Bakersfield, CA 93305
Phone (661) 868-8123
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 |
|---|---|---|---|
| MPSS-ULSWYH | CA | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Corporation | Current | Accepting new patients |
Locations
312 Kentucky St
Bakersfield, CA 93305
Phone (661) 336-6400
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bakersfield, CA
- NPI 1396377875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1811224330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 KENTUCKY ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933054230",
"telephone_number": "661-336-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 1/2 S UNION AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933073642",
"telephone_number": "661-321-0234",
"fax_number": "661-321-9856"
}
],
"practiceLocations": [
{
"address_1": "2151 College Avenue",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "93305",
"country_code": "US",
"telephone_number": "661-868-8123",
"fax_number": "661-868-8087",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALES",
"first_name": "JONATHAN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-04",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-ULSWYH",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.