Active NPI
Silvano Gonzalez
- Transportation Broker
- Victorville, CA
National Provider Identifier
1811543473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- License
- A-5578789
- Practice address
- 13767 Hidden Mesa CT
Victorville, CA 92394 - Phone
- (760) 713-4110
- NPI assigned
- Aug 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | A-5578789 | CA | Primary |
Addresses
Primary practice location
13767 Hidden Mesa CT
Victorville, CA 92394
Mailing address
13767 Hidden Mesa CT
Victorville, CA 92394
Phone (760) 713-4110
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | VICTORVILLE | Direct |
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 |
|---|---|---|---|
| A-5578789 | CA | MD | Transportation Broker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1811543473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13767 HIDDEN MESA CT",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "92394",
"telephone_number": "760-713-4110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13767 HIDDEN MESA CT",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "92394",
"telephone_number": "760-713-4110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "SILVANO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-09",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": "CA",
"license": "A-5578789",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "VICTORVILLE",
"affiliation": "N",
"endpointDescription": "Computer",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "13767 HIDDEN MESA CT",
"city": "VICTORVILLE",
"state": "CA",
"country_code": "US",
"postal_code": "92394",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.