Active NPI
Jonathan Anthony Gonzalez, MS, RDN, LD
- Registered Dietitian
- Sunnyvale, CA
National Provider Identifier
1831760578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT84048
- Practice address
- 120 San Lucar CT
Sunnyvale, CA 94086-5213 - Phone
- (855) 816-7705
- NPI assigned
- Jul 4, 2021
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT84048 | TX | Primary |
Addresses
Primary practice location
120 San Lucar CT
Sunnyvale, CA 94086-5213
Mailing address
3700 Kingwood Dr Apt 1124
Kingwood, TX 77339-3722
Phone (832) 318-9160
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT84048 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625356800000",
"number": "1831760578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 KINGWOOD DR APT 1124",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773393722",
"telephone_number": "832-318-9160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SAN LUCAR CT",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940865213",
"telephone_number": "855-816-7705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JONATHAN",
"middle_name": "ANTHONY",
"credential": "MS, RDN, LD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-04",
"last_updated": "2021-07-04",
"certification_date": "2021-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT84048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.