Active NPI
Daniel Gonzalez
- Behavior Technician
- City of Industry, CA
National Provider Identifier
1922558501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 17595 Almahurst St Ste 100a
City of Industry, CA 91748 - Phone
- (626) 344-4434
- NPI assigned
- Oct 7, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
17595 Almahurst St Ste 100a
City of Industry, CA 91748
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (949) 833-2237
Other practice location 1
2275 S Main St
Corona, CA 92882-5303
Phone (951) 279-3222
Other practice location 2
2275 S Main St
Corona, CA 92882-5303
Phone (951) 279-3222
Other practice location 3
1530 W Cameron Ave
West Covina, CA 91790-2711
Phone (626) 993-3000
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553558400000",
"number": "1922558501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16782 VON KARMAN AVE STE 11",
"city": "IRVINE",
"state": "CA",
"postal_code": "926062417",
"telephone_number": "949-833-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17595 ALMAHURST ST STE 100A",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "91748",
"telephone_number": "626-344-4434"
}
],
"practiceLocations": [
{
"address_1": "2275 S Main St",
"address_purpose": "LOCATION",
"city": "Corona",
"state": "CA",
"postal_code": "928825303",
"country_code": "US",
"telephone_number": "951-279-3222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2275 S Main St",
"address_purpose": "LOCATION",
"city": "Corona",
"state": "CA",
"postal_code": "928825303",
"country_code": "US",
"telephone_number": "951-279-3222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1530 W Cameron Ave",
"address_purpose": "LOCATION",
"city": "West Covina",
"state": "CA",
"postal_code": "917902711",
"country_code": "US",
"telephone_number": "626-993-3000",
"fax_number": "626-993-3093",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-07",
"last_updated": "2019-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in City of Industry, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.