Individual provider Active NPI

Jonathan Gonzales Jr.

  • Peer Specialist
  • Bakersfield, CA
National Provider Identifier
1811224330
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-ULSWYH Issued in CA
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

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MPSS-ULSWYHCAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Aug 17, 2025 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.

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.

Verify at the official NPI Registry.