Roberto A Gonzalez

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

MTN01048F Issued in CA

Practice address

274 E Rowland St
Suite G
Covina, CA 91723-3185

Phone

(626) 966-5422

Fax

(626) 966-5722

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932257201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 E ROWLAND ST",
            "address_2": "SUITE G",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233185",
            "telephone_number": "626-966-5422",
            "fax_number": "626-966-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 E ROWLAND ST",
            "address_2": "SUITE G",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233185",
            "telephone_number": "626-966-5422",
            "fax_number": "626-966-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ROBERTO",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "MTN01048F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN01048F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mia Emelina Gonzalez
• Miguel Angel Gonzalez
• Natalie Gonzalez
• Nicolas Ismael Gonzalez III, O.D.
• Ramon Gonzalez
• Thelma Gonzalez
• Veronica Gonzalez, D.D.S.
• Good Works LLC
• Lisa M. Goodwin, LCSW
• Zeric Kalin Goodwin

• Non-emergency Medical Transport (VAN) in Covina, CA
• Providers in Covina, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.