Ino Perfecto N Gonzales

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1007 Koala Dr
Omak, WA 98841-9247

Phone

(509) 826-6191

Fax

(509) 826-3029

NPI assigned

Aug 15, 2019

Last updated

Aug 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ino Gonzales Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Okanogan Behavioral Healthcare

  • Mental Health Counselor
  • Omak, WA
  • NPI 1154324929
  NPD
• Mindcare Solutions of Texas PA

  • Psychiatry Physician
  • Austin, TX
  • NPI 1396290730
  NPD

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1891341756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 KOALA DR",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419247",
            "telephone_number": "509-826-6191",
            "fax_number": "509-826-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 KOALA DR",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419247",
            "telephone_number": "509-826-6191",
            "fax_number": "509-826-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "INO PERFECTO",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INO",
            "last_name": "GONZALES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacob D Gates, PTA
• Melonie George, CPC, RC, MHCP
• Caleb Gillham, MD
• Bradley Goll
• Griselda Gomez
• Yulma Esmeralda Gonzalez
• Karmen Goodfellow, PT
• Shari Lynn Goodson, MSW
• Dianne Elaine Gray, ARNP
• Talyn Marlene Gray

• Case Manager/Care Coordinator in Omak, WA
• Providers in Omak, WA by specialty
• Case Manager/Care Coordinator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.