Estevan Gilberto Gonzales

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

96 S 14TH St
San Jose, CA 95112-2015

Phone

(408) 998-3298

NPI assigned

Aug 16, 2017

Last updated

Dec 14, 2020By 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 2

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": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1902322415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 JUNCTION BLVD APT 3321",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957474708",
            "telephone_number": "408-761-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 S 14TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122015",
            "telephone_number": "408-998-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "ESTEVAN",
        "middle_name": "GILBERTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-16",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Medina Gonzales Jr., ASW
• Chrystal G Gonzales, PPS, LEP
• Dorothy M Gonzales
• Elizabeth Gonzales
• Eric Gonzales
• Gillian Ginette Gonzales, PHARM D
• Isaac Cercado Gonzales
• Jacqueline Gonzales
• John Michael Gonzales, M.D.
• Marisa Gonzales

• Case Manager/Care Coordinator in San Jose, CA
• Providers in San Jose, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.