Janice Torres Gonzalez
Individual provider Active NPI Registered Nurse · Lakeside, CA
NPI 1871017129 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1871017129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 741023 (CA)
- Practice address
- 9157 Attisha Way
Lakeside, CA 92040-5801 - Phone
- (619) 504-6934
- NPI assigned
- Jul 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 741023 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 741023 | CA | Yes |
Addresses
Primary practice location
9157 Attisha Way
Lakeside, CA 92040-5801
Mailing address
9157 Attisha Way
Lakeside, CA 92040-5801
Phone (619) 504-6934
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17287510 | Other | CA | KAISER |
Other providers in Lakeside, CA
- Kathy Gamboa II
- Natalie Garcia Wood
- Erika Garcia
- GHC of Lakeside, LLC
- Zach Glascox
- Good Care Transportation, LLC
- Shawn Goodwin
- Michael James Gorence
- Don Richard Graham
- Grant and Pham Dental Corporation
All providers in Lakeside, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.