Active NPI
Robert Gonzales
- Addiction (Substance Use Disorder) Counselor
- Lake Hughes, CA
National Provider Identifier
1982237806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 62303
- Practice address
- 48745 3 Points Rd
Lake Hughes, CA 93532-1122 - Phone
- (661) 724-0001
- Fax
- (661) 481-3392
- NPI assigned
- Feb 19, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 62303 | CA | Primary |
Addresses
Primary practice location
48745 3 Points Rd
Lake Hughes, CA 93532-1122
Mailing address
48745 3 Points Rd
Lake Hughes, CA 93532-1122
Phone (661) 724-0001
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 |
|---|---|---|---|
| 62303 | CA | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1982237806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48745 3 POINTS RD",
"city": "LAKE HUGHES",
"state": "CA",
"postal_code": "935321122",
"telephone_number": "661-724-0001",
"fax_number": "661-481-3392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48745 3 POINTS RD",
"city": "LAKE HUGHES",
"state": "CA",
"postal_code": "935321122",
"telephone_number": "661-724-0001",
"fax_number": "661-481-3392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-19",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "62303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Hughes, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.