Individual provider Active NPI

Daniel Gonzalez

  • Behavior Technician
  • City of Industry, CA
National Provider Identifier
1922558501
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
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

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.