Milagro Guadalupe Gonzalez

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

PSB94025045 Issued in CA

Practice address

2790 Skypark Dr Ste 215
Torrance, CA 90505-5388

Phone

(310) 855-3990

NPI assigned

Oct 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Growing Minds Psychological Corporation

  • Clinical Psychologist
  • Granada Hills, CA
  • NPI 1588068787
  NPD
• Accent on Wellness Psychology Associates, Inc.

  • Clinical Psychologist
  • Torrance, CA
  • NPI 1265941165
  NPD (past)

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1972144863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 SKYPARK DR STE 215",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055388",
            "telephone_number": "323-240-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 SKYPARK DR STE 215",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055388",
            "telephone_number": "310-855-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MILAGRO",
        "middle_name": "GUADALUPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "PSB94025045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Detwiler Gonzalez
• Laura Estephany Gonzalez
• Lilliana Gonzalez
• Lorenzo Antonio Gonzalez, MD MPL
• Melissa Lizzette Gonzalez
• Stephen Bryan Gonzalez, PH.D.
• Tabitha Gonzalez
• Vanessa Victoria Gonzalez
• Wendy Paola Gonzalez
• Miesha Gooch

• Student in an Organized Health Care Education/Training Program in Torrance, CA
• Providers in Torrance, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.