Individual provider Active NPI

Brenda Leticia Gonzalez-Vargas, BA

  • Community Health Worker
  • Hayward, CA
National Provider Identifier
1851681795
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
22366 Fuller Ave
Hayward, CA 94541-6226
Phone
(510) 300-3138
Fax
(510) 785-8872
NPI assigned
Apr 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

22366 Fuller Ave
Hayward, CA 94541-6226

Mailing address

22366 Fuller Ave
Hayward, CA 94541-6226
Phone (510) 300-3138

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
Credentials
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1851681795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22366 FULLER AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945416226",
            "telephone_number": "510-300-3138",
            "fax_number": "510-758-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22366 FULLER AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945416226",
            "telephone_number": "510-300-3138",
            "fax_number": "510-785-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-VARGAS",
        "first_name": "BRENDA",
        "middle_name": "LETICIA",
        "name_prefix": "Miss",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.