Clarissa Elizabeth Gonzalez

Primary specialty

Radiology Practitioner AssistantTaxonomy code 243U00000X

License

RA136 Issued in FL

Practice address

400 Health Park Blvd
Saint Augustine, FL 32086-5784

Phone

(904) 244-5029

NPI assigned

Aug 19, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1831005180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 WILDFAIR CT",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320920404",
            "telephone_number": "828-316-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HEALTH PARK BLVD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865784",
            "telephone_number": "904-244-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CLARISSA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "FL",
            "license": "RA136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Goll, LMHC
• Myragrace Japitana Golmayo, ARNP
• Eneida Gomez, MD
• Deanna Gonzalez Headen
• Erika Gonzalez Vazquez
• Leopoldo B Gonzalez, MD
• Phillip Gonzalez
• Tamara Gonzalez, CCC-SLP
• Kenneth E Good, RPH
• Emoni Goodall

• Radiology Practitioner Assistant in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Radiology Practitioner Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.