Richard Alan Gonzales, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT4716 Issued in CA

Practice address

13636 Ventura Blvd C/O Otol RX
#420
Sherman Oaks, CA 91423-3700

Phone

(818) 763-9997

Fax

(818) 763-9979

NPI assigned

Jun 19, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Neuro Rehab Partners LLC

  • Physical Therapist
  • Culver City, CA
  • NPI 1720246176
  NPD

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982134243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13636 VENTURA BLVD C/O OTOL RX",
            "address_2": "#420",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233700",
            "telephone_number": "818-763-9997",
            "fax_number": "818-763-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13636 VENTURA BLVD C/O OTOL RX",
            "address_2": "#420",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233700",
            "telephone_number": "818-763-9997",
            "fax_number": "818-763-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT4716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Manuela Gomez, BT
• Agnes E Gonzaga, FNP
• Gerienne Pangan Gonzaga
• Michael B Gonzales
• Ramil Gonzales
• Jacqueline Gonzalez Ramirez
• Amy Guadalupe Gonzalez
• Ariana Gonzalez
• Denice Gonzalez
• Dulce Maria Gonzalez

• Occupational Therapist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.