Active NPI
Benjamin Gonzalez
- Speech-Language Assistant
- Temecula, CA
National Provider Identifier
1962063412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 4730
- Practice address
- 31205 Pauba Rd Ste 103
Temecula, CA 92592-6220 - Phone
- (951) 693-9600
- NPI assigned
- Jun 25, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 4730 | CA | Primary |
Addresses
Primary practice location
31205 Pauba Rd Ste 103
Temecula, CA 92592-6220
Mailing address
30420 Via El Delora
Temecula, CA 92592-5124
Phone (951) 225-2108
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | benjamin.gonzalez@lucidspeech.com | Direct | Lucid Speech and Language Clinic, Inc. |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4730 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucid Speech & Language | Past | Accepting new patients | |
| Lucid Speech and Language Clinic, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Speech-Language Pathologist
- Murrieta, CA
- NPI 1336240324
-
- Speech-Language Pathologist
- Murrieta, CA
- NPI 1457805251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1962063412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30420 VIA EL DELORA",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925925124",
"telephone_number": "951-225-2108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31205 PAUBA RD STE 103",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925926220",
"telephone_number": "951-693-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "BENJAMIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-25",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "4730",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "benjamin.gonzalez@lucidspeech.com",
"affiliation": "Y",
"endpointDescription": "email",
"affiliationName": "Lucid Speech and Language Clinic, Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "31205 Pauba Rd Ste 103",
"city": "Temecula",
"state": "CA",
"country_code": "US",
"postal_code": "925926220",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.