Jessica Angelle Gonzales

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95028217 Issued in CA

Practice address

1020 La Terraza Cir Unit 301
Corona, CA 92879-7829

Phone

(951) 818-2733

NPI assigned

Jan 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1972193118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LA TERRAZA CIR UNIT 301",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928797829",
            "telephone_number": "951-818-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 LA TERRAZA CIR UNIT 301",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928797829",
            "telephone_number": "951-818-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JESSICA ANGELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95192649",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Gomez
• Miguel A Gomez
• Monica Gomez, COTA
• Ariana Gonzales
• Brian Pizarro Gonzales, D.C.
• Marlene Gonzales
• Sarina Alicia Gonzales, FNP, RN
• Skyla Gonzales
• Teresa Gonzales
• Maria Elizabeth Gonzalez Duenas

• Family Nurse Practitioner in Corona, CA
• Providers in Corona, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.